GENERATIONS PROFESSIONAL SERVICES LLC NPI 1184131690

NPI Information

NPI: 1184131690
Provider Name: GENERATIONS PROFESSIONAL SERVICES, LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

CLIA Number: 01D0683912

Address:
1050 CONVALESCENT RD
VERNON, AL
ZIP 35592
Phone: (205) 695-9313
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GENERATIONS PROFESSIONAL SERVICES, LLC is a gerontology nurse practitioner in Vernon, AL. GENERATIONS PROFESSIONAL SERVICES, LLC NPI is 1184131690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 CONVALESCENT RD
VERNON, AL
ZIP 35592-823
Phone: (205) 695-9313

The provider's authorized official is John Eric Melton .
The authorized official title is Member/ceo and has the following contact phone number (205) 540-1851.

The CLIA number assigned to this NPI record is 01D0683912 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	F09170932	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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