Generations Long Term Care Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

39086 Issued in KY

Legal business name

GENERATIONS LONG TERM CARE INC

Practice address

270 Burley Ave
Hopkinsville, KY 42240-8725

Phone

(270) 887-6767

Fax

(270) 887-8344

NPI assigned

Jan 15, 2016

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawn Langston, CPC

Title

Practice Manager

Phone

(270) 887-6767

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth A Toms, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Hopkinsville, KY
  • NPI 1912958554
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1073970463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS LONG TERM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "270-887-6767",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3006456",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008299",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "39086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn S. Gavin, RPH, PHARMD, BCPS
• Gazza Lab Neurology, PSC
• Laura Gebhardt
• Jordan Alexandra Geenen
• Geeta S Chavda MD PLLC
• Generations Primary Care PSC
• Georgia B. Divine Care
• Stephanie Geraci
• Nathalie Ghnatios
• Jack Thomas Giannini, PSC

• Geriatric Medicine (Family Medicine) Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Geriatric Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.