Provider Demographics
NPI:1285035931
Name:NEW ERA CARE PROVIDERS LLC
Entity Type:Organization
Organization Name:NEW ERA CARE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:SRAHA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:571-239-8769
Mailing Address - Street 1:5999 STEVENSON AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3304
Mailing Address - Country:US
Mailing Address - Phone:571-239-8769
Mailing Address - Fax:
Practice Address - Street 1:5999 STEVENSON AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3304
Practice Address - Country:US
Practice Address - Phone:571-239-8769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ERA QUALITY NURSING SERVICE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA113333-2014251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health