Organization Active NPI

Generations Rehab Group, LLC

  • Health Service Clinic/Center
  • Lonaconing, MD
National Provider Identifier
1891411518
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GENERATIONS REHAB GROUP, LLC
Practice address
57 Jackson St
Lonaconing, MD 21539-1307
Phone
(301) 463-5451
Fax
(301) 268-5426
NPI assigned
Oct 14, 2022
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
James Lauder, MPTNPI 1629102561
Title
President
Phone
(301) 268-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Health Service Clinic/Center 261QH0100X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

57 Jackson St
Lonaconing, MD 21539-1307

Mailing address

57 Jackson St
Lonaconing, MD 21539-1307
Phone (301) 463-5451

Other identifiers 4

IdentifierTypeStateIssuer
1346588829MedicaidMD
1629102561MedicaidMD
1003261850MedicaidMD
1568813889MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlauder@eglenursing.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201000756 MD Part B Supplier - Clinic/Group Practice 4385015247 Receives reassigned benefits from 4 practitioners
Practice locations: Lonaconing, MD

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dennett Rehab CenterOakland, MD, CCN 215216 Skilled nursing facility Adp of the SNF Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1891411518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JACKSON ST",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215391307",
            "telephone_number": "301-463-5451",
            "fax_number": "301-268-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JACKSON ST",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215391307",
            "telephone_number": "301-463-5451",
            "fax_number": "301-268-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS REHAB GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LAUDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-268-9995",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346588829",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629102561",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003261850",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568813889",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlauder@eglenursing.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "57 Jackson St",
            "city": "Lonaconing",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215391307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lonaconing, MD

Sources for this page

Verify at the official NPI Registry.