Provider Demographics
NPI:1437653144
Name:A NEW HARVEST TARGETED CASE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:A NEW HARVEST TARGETED CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:CHILA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:772-257-1927
Mailing Address - Street 1:1773 FARMHOUSE RD SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-1376
Mailing Address - Country:US
Mailing Address - Phone:772-257-1927
Mailing Address - Fax:
Practice Address - Street 1:1800 N STATE ROAD 7
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-4509
Practice Address - Country:US
Practice Address - Phone:210-723-5592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management