Provider Demographics
NPI:1295145456
Name:GENERATION HEALTH LLC
Entity type:Organization
Organization Name:GENERATION HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-496-4616
Mailing Address - Street 1:722 E MARKET ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4475
Mailing Address - Country:US
Mailing Address - Phone:703-496-4616
Mailing Address - Fax:703-496-4615
Practice Address - Street 1:722 E MARKET ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4475
Practice Address - Country:US
Practice Address - Phone:703-496-4616
Practice Address - Fax:703-496-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health