Organization Active NPI

Generation Changers Life Center

Doing business as Generation Changers

  • Home Health Aide
  • Palm Bay, FL
National Provider Identifier
1396515623
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GENERATION CHANGERS LIFE CENTER
Doing business as
Generation Changers
Practice address
4690 Lipscomb St NE Ste 6G
Palm Bay, FL 32905-2929
Phone
(321) 795-7094
NPI assigned
Jan 8, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Rachael Brown
Title
Owner
Phone
(321) 795-7094

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
Adult Companion 372600000X NU
Day Training/Habilitation Specialist 373H00000X NU
Home Health Aide 374U00000X NU Primary
Homemaker 376J00000X NU
Nurse's Aide 376K00000X NU
Case Management Registered Nurse 163WC0400X NU
Home Health Registered Nurse 163WH0200X NU
Case Manager/Care Coordinator 171M00000X NU
Doula 374J00000X NU

Addresses

Primary practice location

4690 Lipscomb St NE Ste 6G
Palm Bay, FL 32905-2929

Mailing address

4690 Lipscomb St NE Ste 6G
Palm Bay, FL 32905-2929
Phone (321) 795-7094

Other names 1

  • Generation Changers Doing business as

National Provider Directory

National Provider Directory

Locations

4690 Lipscomb St NE
Ste 6G
Palm Bay, FL 32905
Phone (321) 795-7094

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1396515623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 LIPSCOMB ST NE STE 6G",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052929",
            "telephone_number": "321-795-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 LIPSCOMB ST NE STE 6G",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052929",
            "telephone_number": "321-795-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION CHANGERS LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-795-7094"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generation Changers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.