Provider Demographics
NPI:1326729658
Name:GENERATIONS HOSPICE AND PALLIATIVE CARE, LLC
Entity Type:Organization
Organization Name:GENERATIONS HOSPICE AND PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TABA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:404-386-2005
Mailing Address - Street 1:2321 4TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-8519
Mailing Address - Country:US
Mailing Address - Phone:404-386-2005
Mailing Address - Fax:
Practice Address - Street 1:2321 4TH ST STE 107
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-8519
Practice Address - Country:US
Practice Address - Phone:404-386-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based