Provider Demographics
NPI:1336317924
Name:NEW BEGINNINGS IN HOME SERVICES LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS IN HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JATUANE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-725-2626
Mailing Address - Street 1:200 S HANLEY RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3415
Mailing Address - Country:US
Mailing Address - Phone:314-725-2626
Mailing Address - Fax:314-725-3210
Practice Address - Street 1:200 S HANLEY RD
Practice Address - Street 2:SUITE 403
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3415
Practice Address - Country:US
Practice Address - Phone:314-725-2626
Practice Address - Fax:314-725-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health