Provider Demographics
NPI:1407058381
Name:GENERATION HOME HEALTH LLC
Entity Type:Organization
Organization Name:GENERATION HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-348-1389
Mailing Address - Street 1:65 MCMILLEN DR STE 503
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-3917
Mailing Address - Country:US
Mailing Address - Phone:740-344-4663
Mailing Address - Fax:740-344-8572
Practice Address - Street 1:65 MCMILLEN DR STE 503
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3917
Practice Address - Country:US
Practice Address - Phone:740-344-4663
Practice Address - Fax:740-344-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health