GENERATIONS FAMILY HEALTH CENTER, INC. (NPI# 1346228905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346228905 |
| Entity Type | Organization |
| Organization Name | GENERATIONS FAMILY HEALTH CENTER, INC. |
| Practice Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Practice Telephone | 8604507471 |
| Mailing Telephone | 8604507471 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | MR. ARVIND SHAW (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8604507456 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
0228 | CT | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0404 | CT | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0374 | CT | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
.321 | CT | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0467 | CT | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0228 | CT | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0467 | CT | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0228 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235695 | 05 | |
| CT | 008003942 | 05 | |
| CT | 004235687 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164759015 | Generations Family Health Center, Inc. | Clinic/Center | 322 Main St, Willimantic, CT 06226-3152 | 2009-11-13 |
| 1447415815 | Generations Family Health Center, Inc. | Clinic/Center | 330 Washington St, Ste 510, Norwich, CT 06360-2700 | 2008-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | GENERATIONS FAMILY HEALTH CENTER, INC. | 40 Mansfield Ave., Willimantic, CT 06226 |
| Street Address |
40 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442771 | Ariye M Krassner | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2020-06-19 |
| 1699239293 | Jung Mi De Thouars | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2019-01-28 |
| 1982176020 | Chinwendu Jennifer Chukwudike | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-12-31 |
| 1740755750 | Lacy Kornilieff | Social Worker | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-10-05 |
| 1710482104 | Christine Louise Rosales | Counselor | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-03-27 |
| 1295244135 | Susie Bernado | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2017-09-22 |
| 1487109617 | Laura Nicole Sabourin | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-08-17 |
| 1487011680 | Kerry Silva | Marriage & Family Therapist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-01-20 |
| 1194100065 | Brett Robertson | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2015-07-21 |
| 1265821581 | Erica Lyons | Nurse Practitioner | 40 Mansfield Ave, Generations Family Health Center, Willimantic, CT 06226-2018 | 2015-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1760877864 | First Choice Health Centers, Inc. | Clinic/Center | 94 Connecticut Boulevard, East Hartford, CT 06108 | 2015-04-06 |
| 1669874855 | First Choice Health Centers, Inc. | Clinic/Center | 20 Maple Street, Maple Street School, Vernon, CT 06066 | 2014-09-19 |
| 1669874087 | First Choice Health Centers, Inc. | Clinic/Center | 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 | 2014-09-17 |
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.