Organization Active NPI

Generations SG Enterprise

  • Non-emergency Medical Transport (VAN)
  • Macomb, MI
National Provider Identifier
1417659418
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GENERATIONS SG ENTERPRISE
Practice address
18949 Pembridge St
Macomb, MI 48042-6308
Phone
(586) 873-7753
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Mrs. Angela Hamelin
Title
Owner
Phone
(586) 873-7753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

18949 Pembridge St
Macomb, MI 48042-6308

Mailing address

8826 San Marco Blvd
Sterling Heights, MI 48313-4864
Phone (586) 873-7753

Other names 1

  • Shirley's Grace Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1417659418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SAN MARCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134864",
            "telephone_number": "586-873-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18949 PEMBRIDGE ST",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480426308",
            "telephone_number": "586-873-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS SG ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HAMELIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-873-7753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley's Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.