Provider Demographics
NPI:1588702369
Name:GENERATIONS NURSING AGENCY INC
Entity type:Organization
Organization Name:GENERATIONS NURSING AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OKELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-925-6325
Mailing Address - Street 1:8935 GREENS LANE
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133
Mailing Address - Country:US
Mailing Address - Phone:410-925-6325
Mailing Address - Fax:410-655-1471
Practice Address - Street 1:8935 GREENS LN
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4240
Practice Address - Country:US
Practice Address - Phone:410-925-6325
Practice Address - Fax:410-655-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care