Provider Demographics
NPI:1518276757
Name:NEW BEGINNINGS HOME CARE
Entity Type:Organization
Organization Name:NEW BEGINNINGS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:315-255-3390
Mailing Address - Street 1:14 E GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3602
Mailing Address - Country:US
Mailing Address - Phone:315-255-3390
Mailing Address - Fax:315-255-2390
Practice Address - Street 1:14 E GARDEN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3602
Practice Address - Country:US
Practice Address - Phone:315-255-3390
Practice Address - Fax:315-255-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301478-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care