Provider Demographics
NPI:1538494554
Name:THE NEW CREATURE OUTREACH CENTER
Entity Type:Organization
Organization Name:THE NEW CREATURE OUTREACH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EYVONNE
Authorized Official - Middle Name:LENETTE
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-506-0011
Mailing Address - Street 1:845 BELL RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3172
Mailing Address - Country:US
Mailing Address - Phone:615-457-2519
Mailing Address - Fax:
Practice Address - Street 1:845 BELL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3172
Practice Address - Country:US
Practice Address - Phone:615-457-2519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty