Provider Demographics
NPI:1689893489
Name:ALL GENERATIONS HOME CARE, INC.
Entity Type:Organization
Organization Name:ALL GENERATIONS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-256-8007
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:MN
Mailing Address - Zip Code:56035-0297
Mailing Address - Country:US
Mailing Address - Phone:507-256-8007
Mailing Address - Fax:507-256-8118
Practice Address - Street 1:77957 325TH ST
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:MN
Practice Address - Zip Code:56026-4210
Practice Address - Country:US
Practice Address - Phone:507-256-8007
Practice Address - Fax:507-256-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN21733251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health