Provider Demographics
NPI:1437754900
Name:NEW CHAPTER INC
Entity Type:Organization
Organization Name:NEW CHAPTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-703-6030
Mailing Address - Street 1:4848 NW 24TH CT APT 428
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3334
Mailing Address - Country:US
Mailing Address - Phone:754-802-6837
Mailing Address - Fax:
Practice Address - Street 1:4848 NW 24TH CT APT 428
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-3334
Practice Address - Country:US
Practice Address - Phone:754-802-6837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106084600Medicaid