Provider Demographics
NPI:1356014674
Name:GENERATIONS PLUS LLC
Entity Type:Organization
Organization Name:GENERATIONS PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LENTZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DORCELY
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH,MPH
Authorized Official - Phone:954-740-3814
Mailing Address - Street 1:PO BOX 882212
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34988-2212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 NW 79TH AVE STE 245
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6506
Practice Address - Country:US
Practice Address - Phone:772-494-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-01
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care