Organization Active NPI

Generations Healthcare, LLC

  • Community Based Hospice Care Agency
  • Westchester, IL
National Provider Identifier
1366469231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GENERATIONS HEALTHCARE, LLC
Practice address
2 Westbrook Corporate Ctr Ste 320
Westchester, IL 60154-5721
Phone
(708) 409-3040
Fax
(708) 409-3041
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Cathy Ponakala, LMSW
Title
Vice President/Coo
Phone
(708) 409-3040

Specialties & licenses 1

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

Addresses

Primary practice location

2 Westbrook Corporate Ctr Ste 320
Westchester, IL 60154-5721

Mailing address

2 Westbrook Corporate Ctr Ste 320
Westchester, IL 60154-5721
Phone (708) 409-3040

Other identifiers 1

IdentifierTypeStateIssuer
502330OtherILBLUE CROSS/BLUE SHIELD

Other names 1

  • Generations Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

127 W 5th St
Pittsburg, KS 66762
Phone (620) 232-7900

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366469231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTBROOK CORPORATE CTR STE 320",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545721",
            "telephone_number": "708-409-3040",
            "fax_number": "708-409-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTBROOK CORPORATE CTR STE 320",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545721",
            "telephone_number": "708-409-3040",
            "fax_number": "708-409-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PONAKALA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "708-409-3040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "502330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.