Provider Demographics
NPI:1275735052
Name:GENERATION HOSPICE LLC
Entity Type:Organization
Organization Name:GENERATION HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-348-1389
Mailing Address - Street 1:26 N WESTMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1840
Mailing Address - Country:US
Mailing Address - Phone:740-348-1330
Mailing Address - Fax:740-344-3091
Practice Address - Street 1:26 N WESTMOOR AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1840
Practice Address - Country:US
Practice Address - Phone:740-348-1330
Practice Address - Fax:740-344-3091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based