Organization
GENERATIONS ADULT DAY HEALTH SERVICES LLC
Active
Other names
Generations LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTA A CALDARALE-AHEARN RN, MS (CHIEF EXECUTIVE OFFICER,OWNER,ADMIN)
(609) 653-9700
Entity
Organization
Contact information
Practice address
40 E NEW YORK AVE, SOMERS POINT, NJ 08244-2341
(609) 653-9700
Mailing address
40 E NEW YORK AVE, SOMERS POINT, NJ 08244-2341
(609) 653-9700
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
018101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018101
STATE LICENSE NUMBER
NJ
01
—
8481709
MEDICAID PROVIDER NUMBER
NJ
Enumeration date
02/20/2007
Last updated
08/22/2020
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