GENERATION 5 HEALTHCARE, INC. – NPI #1588163562
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

GENERATION 5 HEALTHCARE, INC. is a residential treatment facility located in BALTIMORE, MD. NPPES has assigned the NPI number 1588163562 to GENERATION 5 HEALTHCARE, INC. on February 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENERATION 5 HEALTHCARE, INC. below.

NPI Profile for
GENERATION 5 HEALTHCARE, INC.

NPI Number
1588163562
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENERATION 5 HEALTHCARE, INC.
Primary location
707 BELGIAN AVE.
BALTIMORE, MD 21218
Phone: (443) 824-0966 Fax:
1 Other location(s):
1635 Westwood Ave.
Baltimore, MD 21217
Phone: (443) 824-0966
Mailing address
P.O. BOX 43
WHITE MARSH, MD 21162
Phone: (443) 824-0966 Fax:
Organization Subpart
No
Authorized Official
NICOLE TYSON-FERGUSON
CHIEF EXECUTIVE OFFICER
Phone: (443) 824-0966
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.