Organization
GENERATIONS HEALTHCARE, LLC
Active
Other names
Generations Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY PONAKALA LMSW (VICE PRESIDENT/COO)
(708) 409-3040
Entity
Organization
Contact information
Practice address
2 WESTBROOK CORPORATE CTR STE 320, WESTCHESTER, IL 60154-5721
(708) 409-3040
(708) 409-3041
Mailing address
2 WESTBROOK CORPORATE CTR STE 320, WESTCHESTER, IL 60154-5721
(708) 409-3040
(708) 409-3041
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502330
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/16/2006
Last updated
07/21/2022
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