NPIMap

Organization Active NPI

Generation Gerannamo

  • Home Health Agency
  • Brentwood, NY
National Provider Identifier
1124678727
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENERATION GERANNAMO
Doing business as
Generation Gerannamo inc.
Practice address
119 Thomas St
Brentwood, NY 11717-1218
Phone
(267) 789-5106
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Mrs. Antoinette Jordan, MS, MEDNPI 1659874915
Title
Ceo
Phone
(267) 789-5106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

119 Thomas St
Brentwood, NY 11717-1218

Mailing address

119 Thomas St
Brentwood, NY 11717-1218
Phone (267) 789-5106

Other identifiers 2

IdentifierTypeStateIssuer
1659874915MedicaidNY
1659874915OtherFLCARE MANAGEMENT

Other names 1

  • Generation Gerannamo inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1124678727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171218",
            "telephone_number": "267-789-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171218",
            "telephone_number": "267-789-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION GERANNAMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-789-5106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, MED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659874915",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MANAGEMENT",
            "identifier": "1659874915",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generation Gerannamo inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.