Provider Demographics
NPI:1457830036
Name:GENERATIONS HEALTH INC
Entity Type:Organization
Organization Name:GENERATIONS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:MCGRUDER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MPA
Authorized Official - Phone:504-510-2906
Mailing Address - Street 1:8000 CROWDER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1065
Mailing Address - Country:US
Mailing Address - Phone:504-510-2906
Mailing Address - Fax:504-510-2850
Practice Address - Street 1:8000 CROWDER BLVD STE B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-510-2906
Practice Address - Fax:504-510-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable