Provider Demographics
NPI:1427186709
Name:NEW BEGINNINGS HOME MEDICAL SUPPLY
Entity Type:Organization
Organization Name:NEW BEGINNINGS HOME MEDICAL SUPPLY
Other - Org Name:NEW BEGINNINGS HOME MEDICAL EQUIPMENT AND SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINNY
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-848-0370
Mailing Address - Street 1:10404 W COGGINS DR
Mailing Address - Street 2:SUITE 103 &104
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3400
Mailing Address - Country:US
Mailing Address - Phone:623-848-0370
Mailing Address - Fax:623-845-5542
Practice Address - Street 1:10404 W COGGINS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3437
Practice Address - Country:US
Practice Address - Phone:623-848-0370
Practice Address - Fax:623-845-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20069552332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5401600001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT