# GENERATIONS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588272769
- **Authorized official:** MISS REGINA WATERS (OWNER)
- **Authorized official phone:** (702) 970-1449

## Contact information

- **Practice address:** 5256 FIGHTING FISH WAY, LAS VEGAS, NV 89118-0621
- **Practice address phone:** (702) 970-1449
- **Practice address fax:** (702) 970-1449
- **Mailing address:** 5256 FIGHTING FISH WAY, LAS VEGAS, NV 89118-0621
- **Mailing address phone:** (702) 970-1449
- **Mailing address fax:** (702) 368-0318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 09/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10060-PCS-0 | DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC AND BEHAVORIAL HEALTH | NV |