Provider Demographics
NPI:1336284579
Name:GENERATIONS OF KENTUCKY, INC.
Entity type:Organization
Organization Name:GENERATIONS OF KENTUCKY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-247-1311
Mailing Address - Street 1:3380 STATE ROUTE 121 N
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-7945
Mailing Address - Country:US
Mailing Address - Phone:270-247-1311
Mailing Address - Fax:270-992-1158
Practice Address - Street 1:3380 STATE ROUTE 121 N
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-7945
Practice Address - Country:US
Practice Address - Phone:270-247-1311
Practice Address - Fax:270-992-1158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
KY750148385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services