Provider Demographics
NPI:1700830791
Name:GENERATION SOLUTIONS OF LYNCHBURG, LLC
Entity Type:Organization
Organization Name:GENERATION SOLUTIONS OF LYNCHBURG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:IRVINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-455-6500
Mailing Address - Street 1:1032 CLAYMONT DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4480
Mailing Address - Country:US
Mailing Address - Phone:434-455-6500
Mailing Address - Fax:434-455-6511
Practice Address - Street 1:1032 CLAYMONT DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4480
Practice Address - Country:US
Practice Address - Phone:434-455-6500
Practice Address - Fax:434-455-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497533Medicare Oscar/Certification