Provider Demographics
NPI:1710575881
Name:GENERATIONS CARE OH LLC
Entity Type:Organization
Organization Name:GENERATIONS CARE OH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-499-7757
Mailing Address - Street 1:24700 CENTER RIDGE RD STE G20
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5665
Mailing Address - Country:US
Mailing Address - Phone:917-499-7757
Mailing Address - Fax:
Practice Address - Street 1:24700 CENTER RIDGE RD STE G20
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5665
Practice Address - Country:US
Practice Address - Phone:917-499-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based