Provider Demographics
NPI:1619398898
Name:GENERATIONS HEALTHCARE AGENCY, INC.
Entity Type:Organization
Organization Name:GENERATIONS HEALTHCARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-655-0500
Mailing Address - Street 1:6420 COLDWATER CANYON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1126
Mailing Address - Country:US
Mailing Address - Phone:818-655-0500
Mailing Address - Fax:818-655-0501
Practice Address - Street 1:6420 COLDWATER CANYON AVE STE 200
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1126
Practice Address - Country:US
Practice Address - Phone:818-655-0500
Practice Address - Fax:818-655-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health