Provider Demographics
NPI:1073700316
Name:A NEW BEGINING HOME CARE
Entity Type:Organization
Organization Name:A NEW BEGINING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-659-9669
Mailing Address - Street 1:1156 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2142
Mailing Address - Country:US
Mailing Address - Phone:908-659-9669
Mailing Address - Fax:
Practice Address - Street 1:1156 LIBERTY AVE STE 7
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2142
Practice Address - Country:US
Practice Address - Phone:906-659-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health