Provider Demographics
NPI:1104851799
Name:NEW BEGINNINGS RECOVERY
Entity Type:Organization
Organization Name:NEW BEGINNINGS RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICIER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-526-6168
Mailing Address - Street 1:270 STERKEL BLVD
Mailing Address - Street 2:SUITE 81
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1508
Mailing Address - Country:US
Mailing Address - Phone:419-526-6168
Mailing Address - Fax:419-526-2753
Practice Address - Street 1:270 STERKEL BLVD
Practice Address - Street 2:SUITE 81
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1508
Practice Address - Country:US
Practice Address - Phone:419-526-6168
Practice Address - Fax:419-526-2753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH07137Medicare UPIN