Provider Demographics
NPI:1083949192
Name:NEW DAWN HOMEHEALH SERVICES INC
Entity Type:Organization
Organization Name:NEW DAWN HOMEHEALH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:EBERE
Authorized Official - Last Name:UKADIKE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:469-878-6318
Mailing Address - Street 1:12801 KEYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180-2388
Mailing Address - Country:US
Mailing Address - Phone:469-878-6318
Mailing Address - Fax:214-772-6226
Practice Address - Street 1:12801 KEYSTONE DR
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180
Practice Address - Country:US
Practice Address - Phone:469-878-6318
Practice Address - Fax:214-772-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherOFFICE OF THE SECRETARY OF STATE