Provider Demographics
NPI:1144736422
Name:NEWLINE HOME HEALTH AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:NEWLINE HOME HEALTH AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:OVAKIMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-375-1232
Mailing Address - Street 1:827 N LA CADENA DR
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-2747
Mailing Address - Country:US
Mailing Address - Phone:818-579-8404
Mailing Address - Fax:818-573-6434
Practice Address - Street 1:827 N LA CADENA DR
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-2747
Practice Address - Country:US
Practice Address - Phone:909-375-1232
Practice Address - Fax:909-375-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health