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GENERATIONAL HEALTH CARE LLC
NPI 1063198588
Nurse Practitioner - Family in Las Vegas, NV

Active since June 27, 2023CLIA 29D2317635 · Waiver
5667 GREAT EAGLE CT, LAS VEGAS, NV 89122(725) 253-3500(702) 483-5228 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Generational Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENERATIONAL HEALTH CARE LLC (NPI 1063198588) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Sharon Yvette Graves-johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063198588
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGENERATIONAL HEALTH CARE LLC
Location Address5667 GREAT EAGLE CTLas Vegas, NV 89122-4768
Mailing AddressPo Box 621448Las Vegas, NV 89162-1448 · (725) 253-3500 · Fax (702) 483-5228
Phone(725) 253-3500
Fax(702) 483-5228
Organization SubpartNo
Authorized OfficialSharon Yvette Graves-johnsonOwner · (725) 253-3500
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1063198588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5667 GREAT EAGLE CT, Las Vegas, NV 89122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2317635

Generational Health Care · Las Vegas, NV
Active · expires Jan 27, 2027
CLIA Number29D2317635
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorSharon Y Graves-Johnson
Laboratory Phone(725) 253-3500
Laboratory LocationGenerational Health Care8905 W Post Road, Suite 110, Las Vegas, NV 89148
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Generational Health Care LLC's NPI number?

The NPI number for Generational Health Care LLC is 1063198588. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Generational Health Care LLC located?

Generational Health Care LLC is located at 5667 Great Eagle Ct, Las Vegas, NV 89122. The listed phone number is (725) 253-3500.

What is Generational Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Generational Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2317635) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Generational Health Care LLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.