Provider Demographics
NPI:1134913684
Name:GENERATIONS HOME CARE, LLC
Entity type:Organization
Organization Name:GENERATIONS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-877-6981
Mailing Address - Street 1:200 S 20TH ST STE A2
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1121
Mailing Address - Country:US
Mailing Address - Phone:479-877-6981
Mailing Address - Fax:479-662-4787
Practice Address - Street 1:200 S 20TH ST STE A2
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1121
Practice Address - Country:US
Practice Address - Phone:479-877-6981
Practice Address - Fax:479-662-4787
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENERATIONS HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care