Provider Demographics
NPI:1073877940
Name:NEW BEGINNINGS PERSONAL SUPPORT SERVICES
Entity Type:Organization
Organization Name:NEW BEGINNINGS PERSONAL SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-275-0779
Mailing Address - Street 1:1 EAGLEWOOD CV
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-3702
Mailing Address - Country:US
Mailing Address - Phone:901-275-0779
Mailing Address - Fax:731-738-0505
Practice Address - Street 1:165 E MCFARLIN AVE
Practice Address - Street 2:
Practice Address - City:HENNING
Practice Address - State:TN
Practice Address - Zip Code:38041-7541
Practice Address - Country:US
Practice Address - Phone:901-275-0779
Practice Address - Fax:731-738-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000010970251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health