Organization Active NPI

Generations at Home Holdings, LLC

  • In Home Supportive Care Agency
  • St Petersburg, FL
National Provider Identifier
1578081204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299994364 Issued in FL
Legal business name
GENERATIONS AT HOME HOLDINGS, LLC
Practice address
1 Beach Dr SE
Suite 302
St Petersburg, FL 33701
Phone
(727) 940-3414
Fax
(727) 940-3415
NPI assigned
Sep 1, 2017
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
Robert Renz Nichols
Title
Owner/Cfo
Phone
(727) 940-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 299994364 FL Primary

Addresses

Primary practice location

1 Beach Dr SE
Suite 302
St Petersburg, FL 33701

Mailing address

1 Beach Dr SE Ste 302
St Petersburg, FL 33701-3963
Phone (727) 940-3414

Other names 1

  • Generations at Home 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": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578081204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEACH DR SE STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013963",
            "telephone_number": "727-940-3414",
            "fax_number": "727-940-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEACH DR SE",
            "address_2": "SUITE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-940-3414",
            "fax_number": "727-940-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT HOME HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RENZ",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "727-940-3414"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299994364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

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.