Provider Demographics
NPI:1295045284
Name:NEVAEH INCORPORATED
Entity Type:Organization
Organization Name:NEVAEH INCORPORATED
Other - Org Name:NEW BEGINNINGS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VICKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-515-8869
Mailing Address - Street 1:13209 AUTUMN ASH DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-3144
Mailing Address - Country:US
Mailing Address - Phone:832-515-8869
Mailing Address - Fax:
Practice Address - Street 1:13209 AUTUMN ASH DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-3144
Practice Address - Country:US
Practice Address - Phone:832-515-8869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health