Provider Demographics
NPI:1689443590
Name:GENERATIONS CARE PARTNERS CORPORATION
Entity Type:Organization
Organization Name:GENERATIONS CARE PARTNERS CORPORATION
Other - Org Name:CARING SENIOR SERVICE WASATCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-519-3256
Mailing Address - Street 1:410 HART DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WI
Mailing Address - Zip Code:53525-9102
Mailing Address - Country:US
Mailing Address - Phone:815-519-3256
Mailing Address - Fax:
Practice Address - Street 1:75 E FORT UNION BLVD STE C102
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-5510
Practice Address - Country:US
Practice Address - Phone:385-255-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care