Active NPI
Generational Health Corporation
- Adult Care Home Facility
- Lakewood, WA
National Provider Identifier
1295445070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- GENERATIONAL HEALTH CORPORATION
- Doing business as
- The Young House
- Practice address
- 8717 Forest Ave SW
Lakewood, WA 98498-3515 - Phone
- (360) 910-8919
- Fax
- (253) 507-8773
- NPI assigned
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christa Rene Young, RN
- Title
- Provider
- Phone
- (360) 910-8919
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
8717 Forest Ave SW
Lakewood, WA 98498-3515
Mailing address
8717 Forest Ave SW
Lakewood, WA 98498-3515
Phone (360) 910-8919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755773 | Medicaid | WA |
Other names 1
- The Young House
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WWW.YOUNGHOUSEAFH.COM | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2292329 | The Young House | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Lakewood, WA
- NPI 1962160713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1295445070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 FOREST AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983515",
"telephone_number": "360-910-8919",
"fax_number": "253-507-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8717 FOREST AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983515",
"telephone_number": "360-910-8919",
"fax_number": "253-507-8773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONAL HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "CHRISTA",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "360-910-8919",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755773",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WWW.YOUNGHOUSEAFH.COM",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8717 Forest Ave SW",
"city": "Lakewood",
"state": "WA",
"country_code": "US",
"postal_code": "984983515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Young House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.