Provider Demographics
NPI:1225570708
Name:NEWTON-ATLANTIC, LLC
Entity Type:Organization
Organization Name:NEWTON-ATLANTIC, LLC
Other - Org Name:PREFERRED CARE AT HOME OF VIRGINIA BEACH, VA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAPTISTE ZWAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-355-5080
Mailing Address - Street 1:2133 UPTON DR
Mailing Address - Street 2:STE., 126-182
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1193
Mailing Address - Country:US
Mailing Address - Phone:757-355-5080
Mailing Address - Fax:757-355-5081
Practice Address - Street 1:1520 STONEMOSS CT
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5731
Practice Address - Country:US
Practice Address - Phone:757-388-5080
Practice Address - Fax:757-355-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0240780434Medicaid