Provider Demographics
NPI:1235683939
Name:NEW BEGINNINGS PRIVATE CARE, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS PRIVATE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:PIZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-574-4700
Mailing Address - Street 1:160 INTERNATIONAL PKWY
Mailing Address - Street 2:SUITE 100-10
Mailing Address - City:HEATHROW
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5056
Mailing Address - Country:US
Mailing Address - Phone:407-574-4700
Mailing Address - Fax:407-504-6489
Practice Address - Street 1:160 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 100-10
Practice Address - City:HEATHROW
Practice Address - State:FL
Practice Address - Zip Code:32746-5056
Practice Address - Country:US
Practice Address - Phone:407-574-4700
Practice Address - Fax:407-504-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234451253Z00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL234451Other(AHCA) HOMEMAKING AND COMPANIONSHIP SERVICES