Provider Demographics
NPI:1003898636
Name:NEW COMMUNITY HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NEW COMMUNITY HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-624-2020
Mailing Address - Street 1:266 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2457
Mailing Address - Country:US
Mailing Address - Phone:973-624-2020
Mailing Address - Fax:973-624-8046
Practice Address - Street 1:266 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2457
Practice Address - Country:US
Practice Address - Phone:973-624-2020
Practice Address - Fax:973-624-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060731314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4476701Medicaid
NJ315393Medicare ID - Type Unspecified