Provider Demographics
NPI:1912217910
Name:GENERATION CARE, LLC
Entity Type:Organization
Organization Name:GENERATION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:GONSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-201-7307
Mailing Address - Street 1:2106 SAGUARO RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1013
Mailing Address - Country:US
Mailing Address - Phone:970-201-7307
Mailing Address - Fax:
Practice Address - Street 1:2106 SAGUARO RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-1013
Practice Address - Country:US
Practice Address - Phone:970-201-7307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-09
Last Update Date:2010-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care