Provider Demographics
NPI:1467574236
Name:NEW CARE, INC.
Entity Type:Organization
Organization Name:NEW CARE, INC.
Other - Org Name:NEWCARE CONVALESCENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIETING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-854-2717
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:CRIVITZ
Mailing Address - State:WI
Mailing Address - Zip Code:54114-0460
Mailing Address - Country:US
Mailing Address - Phone:715-854-2717
Mailing Address - Fax:715-854-2554
Practice Address - Street 1:903 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CRIVITZ
Practice Address - State:WI
Practice Address - Zip Code:54114-1619
Practice Address - Country:US
Practice Address - Phone:715-854-2717
Practice Address - Fax:715-854-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3110314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI20172300Medicaid
WI20172300Medicaid
WI525489Medicare ID - Type Unspecified