Provider Demographics
NPI:1003356981
Name:NOUVEAU MEDIC CONCIERGE RECOVERY AND HOMECARE LLC
Entity Type:Organization
Organization Name:NOUVEAU MEDIC CONCIERGE RECOVERY AND HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:NMD PHD RN MPH
Authorized Official - Phone:305-918-1349
Mailing Address - Street 1:270 17TH ST NW
Mailing Address - Street 2:3509
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1205
Mailing Address - Country:US
Mailing Address - Phone:678-549-6255
Mailing Address - Fax:
Practice Address - Street 1:200 S BISCAYNE BLVD
Practice Address - Street 2:SUITE 2790
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2310
Practice Address - Country:US
Practice Address - Phone:305-918-1349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care