Provider Demographics
NPI:1306848346
Name:NEWLAND HEALTHCARE INC.
Entity Type:Organization
Organization Name:NEWLAND HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:EME
Authorized Official - Last Name:ONYEUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-209-1227
Mailing Address - Street 1:3420 NORMAN BERRY DR
Mailing Address - Street 2:SUIT 315
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30354-1385
Mailing Address - Country:US
Mailing Address - Phone:404-209-1227
Mailing Address - Fax:404-209-1228
Practice Address - Street 1:3420 NORMAN BERRY DR
Practice Address - Street 2:SUIT 315
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30354-1385
Practice Address - Country:US
Practice Address - Phone:404-209-1227
Practice Address - Fax:404-209-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5056310001Medicare ID - Type Unspecified