Generations at Normal, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GENERATIONS AT NORMAL, LLC

Practice address

510 Broadway
Normal, IL 61761-3762

Phone

(309) 452-4406

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Thomas Winter

Title

Cfo

Phone

(847) 674-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1902388804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122628",
            "telephone_number": "847-674-5200",
            "fax_number": "847-675-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADWAY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613762",
            "telephone_number": "309-452-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT NORMAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-5200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Gaunch, OTD, OTR/L, CLIPP
• Connor Gearhart
• Brian William Gebhart, D.O.
• Abigail Gee, APN
• Elizabeth Rose Geistlinger
• Luke Gentry, DPT
• Gerardo a. Grieco, M.D., S.C.
• Noel Y Gerongay, RPT
• Ali Raza Ghani, M.D.
• Amanda Lee Gibson, OTRL

• Skilled Nursing Facility in Normal, IL
• Providers in Normal, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.