Organization Active NPI

Generations Health Services LLC

  • Home Health Agency
  • Richmond Heights, OH
National Provider Identifier
1578956298
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENERATIONS HEALTH SERVICES LLC
Practice address
25988 Highland Rd
Richmond Heights, OH 44143-2703
Phone
(216) 486-0000
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Nicole A. Kerkian
Title
Owner
Phone
(216) 486-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25988 Highland Rd
Richmond Heights, OH 44143-2703

Mailing address

25988 Highland Rd
Richmond Heights, OH 44143-2703

Other identifiers 2

IdentifierTypeStateIssuer
0170657MedicaidOH
2795202MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507000894 OH Part A Provider - Home Health Agency 2466771787 Practice locations: Richmond Heights, OH

Home health agency certification: CCN 368205

Legal name
GENERATIONS HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 11, 2007
Last certification
Jun 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 20, 2015 in OH
Enrollment address
25988 Highland Road
Richmond Heights, OH 44143

Care Compare: Home health agency

Medicare Care Compare
Listed as
Generations Health Services LLCCCN 368205
Ownership
Proprietary
Certified
Oct 11, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

25988 Highland Rd
Richmond Heights, OH 44143
Phone (216) 486-0000

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nicole Stanich Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 11, 2015 100%
Corporate Officer Feb 11, 2015
Operational/Managerial ControlAdministrator Feb 11, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1578956298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25988 HIGHLAND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25988 HIGHLAND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432703",
            "telephone_number": "216-486-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "KERKIAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-486-0000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170657",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2795202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.