NPIMap

Organization Active NPI

Generations Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Tucker, GA
National Provider Identifier
1326729658
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GENERATIONS HOSPICE AND PALLIATIVE CARE, LLC
Practice address
2321 4TH St Ste 107
Tucker, GA 30084-8519
Phone
(404) 386-2005
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Susan Taba, OWNER
Title
Owner/Administrator
Phone
(404) 386-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2321 4TH St Ste 107
Tucker, GA 30084-8519

Mailing address

2321 4TH St Ste 107
Tucker, GA 30084-8519
Phone (404) 386-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240520001789 GA Part A Provider - Hospice 4981046182 Practice locations: Tucker, GA

Hospice certification: CCN 851599

Legal name
GENERATIONS HOSPICE AND PALLIATIVE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 10, 2024
Last certification
Aug 21, 2024
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Jan 6, 2023 in GA
Enrollment address
2321 4TH St
Ste 107
Tucker, GA 30084-8519

Care Compare: Hospice

Medicare Care Compare
Listed as
Generations Hospice and Palliative Care LLCCCN 851599
Certified
Sep 10, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2321 4th St
Ste 107
Tucker, GA 30084
Phone (404) 386-2005

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan B Taba Individual 5% Or Greater Direct Ownership Interest Jan 6, 2023 50%
Corporate Officer Jan 6, 2023 50%
Corporate Director Jan 6, 2023 50%
Operational/Managerial ControlAdministrator Jan 6, 2023 100%
Clara M Teter Individual 5% Or Greater Direct Ownership Interest Jan 6, 2023 50%
Corporate Officer Jan 6, 2023 50%
Corporate Director Jan 6, 2023 50%

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": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1326729658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 4TH ST STE 107",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848519",
            "telephone_number": "404-386-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 4TH ST STE 107",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848519",
            "telephone_number": "404-386-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "TABA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "404-386-2005",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.