Active NPI
Generation Changers Life Center
Doing business as Generation Changers
- Home Health Aide
- Palm Bay, FL
National Provider Identifier
1396515623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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, 2024
- 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
- Rachael Brown
- Title
- Owner
- Phone
- (321) 795-7094
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.