Provider Demographics
NPI:1326191735
Name:NEWCARE, LLC
Entity Type:Organization
Organization Name:NEWCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:H
Authorized Official - Last Name:LYON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:401-848-6000
Mailing Address - Street 1:201 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4625
Mailing Address - Country:US
Mailing Address - Phone:401-848-6000
Mailing Address - Fax:
Practice Address - Street 1:201 FOREST AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4625
Practice Address - Country:US
Practice Address - Phone:401-848-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02245251E00000X
RINPA00032251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINC04198Medicaid
RINC59085Medicaid