Provider Demographics
NPI:1013203421
Name:NEWBREED HOMECARE SERVICES
Entity Type:Organization
Organization Name:NEWBREED HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-847-8500
Mailing Address - Street 1:8339 CHURCH ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4453
Mailing Address - Country:US
Mailing Address - Phone:408-847-8500
Mailing Address - Fax:888-849-1504
Practice Address - Street 1:8339 CHURCH ST
Practice Address - Street 2:SUITE 216
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4453
Practice Address - Country:US
Practice Address - Phone:408-847-8500
Practice Address - Fax:888-849-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home