Provider Demographics
NPI:1457659252
Name:GENERATIONS HOSPICE CARE INC
Entity Type:Organization
Organization Name:GENERATIONS HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SHERER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:402-881-2844
Mailing Address - Street 1:1010 LONGVIEW ROAD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:MISSOURI VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51555
Mailing Address - Country:US
Mailing Address - Phone:712-642-2264
Mailing Address - Fax:712-642-2578
Practice Address - Street 1:1010 LONGVIEW RD STE 101
Practice Address - Street 2:
Practice Address - City:MISSOURI VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51555-1200
Practice Address - Country:US
Practice Address - Phone:712-642-2264
Practice Address - Fax:712-642-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based