Generation Group Home

LBN: Generation Group Home
Generation Group Home is an health care organization with primary practice located at 5605 Berkman Dr , Austin TX 78723-2622. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Generation Group Home can be contacted via phone (512) 926-6813, or through Cokley, Patra E via phone (512) 926-6813.

Contact Information

Primary practice address
5605 Berkman Dr Austin TX 78723-2622
Fax: (512) 926-3730
Website:
Authorized official contact:
Name: Cokley, Patra E OWNER

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 050603 Texas

Profile Details

NPI number 1104956366
LBN Legal business name Generation Group Home
DBA Doing business as
Authorized official Cokley, Patra E OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104956366 NPPES
Texas MEDICAID 001002999

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