Provider Demographics
NPI:1114173218
Name:THE GENERATION HOME HEALTHCARE
Entity Type:Organization
Organization Name:THE GENERATION HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GYEBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-269-8338
Mailing Address - Street 1:225 W JOHNSTOWN RD APT 1E
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2790
Mailing Address - Country:US
Mailing Address - Phone:614-269-8338
Mailing Address - Fax:
Practice Address - Street 1:225 W JOHNSTOWN RD APT 1E
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2790
Practice Address - Country:US
Practice Address - Phone:614-843-7207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3306603140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric