Provider Demographics
NPI:1508851007
Name:NEW AGE HEALTHCARE LLC
Entity Type:Organization
Organization Name:NEW AGE HEALTHCARE LLC
Other - Org Name:ARCADIA DEVELOPMENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-984-9321
Mailing Address - Street 1:303 FRANKLIN AVE
Mailing Address - Street 2:P.O. BOX 589
Mailing Address - City:ARCADIA
Mailing Address - State:IN
Mailing Address - Zip Code:46030-9644
Mailing Address - Country:US
Mailing Address - Phone:317-984-9321
Mailing Address - Fax:317-984-1620
Practice Address - Street 1:303 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:IN
Practice Address - Zip Code:46030-9644
Practice Address - Country:US
Practice Address - Phone:317-984-9321
Practice Address - Fax:317-984-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities