Provider Demographics
NPI:1982189031
Name:NEXT GENERATION CARE LLC
Entity Type:Organization
Organization Name:NEXT GENERATION CARE LLC
Other - Org Name:NEXT GENERATION CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:GARRAUD
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH AIDE
Authorized Official - Phone:267-334-4571
Mailing Address - Street 1:1106 VAN KIRK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-3630
Mailing Address - Country:US
Mailing Address - Phone:267-334-4571
Mailing Address - Fax:215-941-8357
Practice Address - Street 1:1106 VAN KIRK ST
Practice Address - Street 2:1106 VAN KIR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-3630
Practice Address - Country:US
Practice Address - Phone:267-334-4571
Practice Address - Fax:215-941-8357
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEXT GENERATION CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-25
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicaid