Provider Demographics
NPI:1174859177
Name:NEW AGE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:NEW AGE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLEOPAS
Authorized Official - Middle Name:ONYEMA
Authorized Official - Last Name:IBENEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-725-4653
Mailing Address - Street 1:3011 VISTA LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1280
Mailing Address - Country:US
Mailing Address - Phone:713-725-4653
Mailing Address - Fax:281-412-4479
Practice Address - Street 1:3011 VISTA LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1280
Practice Address - Country:US
Practice Address - Phone:713-725-4653
Practice Address - Fax:281-412-4479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health