Organization Active NPI

Generation Solutions Personal Care of Roanoke LLC

  • In Home Supportive Care Agency
  • Roanoke, VA
National Provider Identifier
1235513805
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO15898 Issued in VA
Legal business name
GENERATION SOLUTIONS PERSONAL CARE OF ROANOKE LLC
Practice address
3825 Electric Rd
Suite a
Roanoke, VA 24018-4561
Phone
(540) 776-3622
Fax
(540) 776-0694
NPI assigned
Jul 14, 2015
Organization subpart
Yes
Parent organization
GENERATIONS SOLUTIONS HOLDING, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Mr. Darryl Everette Williams
Title
Executive Vice President
Phone
(434) 455-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO15898 VA Primary

Addresses

Primary practice location

3825 Electric Rd
Suite a
Roanoke, VA 24018-4561

Mailing address

3825 Electric Rd
Suite a
Roanoke, VA 24018-4561
Phone (540) 776-3622

Other identifiers 1

IdentifierTypeStateIssuer
HCO15898OtherVAHOME CARE LICENSE

National Provider Directory

National Provider Directory
Part of
Generation Solutions Inc

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1235513805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184561",
            "telephone_number": "540-776-3622",
            "fax_number": "540-776-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184561",
            "telephone_number": "540-776-3622",
            "fax_number": "540-776-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION SOLUTIONS PERSONAL CARE OF ROANOKE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATIONS SOLUTIONS HOLDING, INC",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "EVERETTE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "434-455-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO15898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "HCO15898",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.