Provider Demographics
NPI:1255379152
Name:GENERATION SOLUTIONS OF THE ROANOKE VALLEY, INC
Entity type:Organization
Organization Name:GENERATION SOLUTIONS OF THE ROANOKE VALLEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:TULANE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-455-6500
Mailing Address - Street 1:3825 ELECTRIC RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4561
Mailing Address - Country:US
Mailing Address - Phone:540-776-3622
Mailing Address - Fax:540-776-0694
Practice Address - Street 1:3825 ELECTRIC RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-4561
Practice Address - Country:US
Practice Address - Phone:540-776-3622
Practice Address - Fax:540-776-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA05-191251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-7608Medicare ID - Type UnspecifiedMEDICARE HOME HEALTH