Organization
GENERATIONS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REGINA WATERS (OWNER)
(702) 970-1449
Entity
Organization
Contact information
Practice address
5256 FIGHTING FISH WAY, LAS VEGAS, NV 89118-0621
(702) 970-1449
(702) 970-1449
Mailing address
5256 FIGHTING FISH WAY, LAS VEGAS, NV 89118-0621
(702) 970-1449
(702) 368-0318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10060-PCS-0
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC AND BEHAVORIAL HEALTH
NV
Enumeration date
07/14/2020
Last updated
09/14/2021
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