Provider Demographics
NPI:1326454992
Name:GREAT GENERATION ASSISTANCE INC
Entity Type:Organization
Organization Name:GREAT GENERATION ASSISTANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:DU BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-644-7203
Mailing Address - Street 1:4582 KINGWOOD DR # 331
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2714 W LAKE HOUSTON PKWY STE 190
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-2639
Practice Address - Country:US
Practice Address - Phone:832-644-7203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care