Provider Demographics
NPI:1578857686
Name:NEW WAVE HOME CARE, INC
Entity Type:Organization
Organization Name:NEW WAVE HOME CARE, INC
Other - Org Name:COMFORCARE SENIOR SERVICES-ARCADIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAYASHREE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-639-0226
Mailing Address - Street 1:1350 N ALTADENA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1458
Mailing Address - Country:US
Mailing Address - Phone:626-639-0226
Mailing Address - Fax:626-283-5733
Practice Address - Street 1:1350 N ALTADENA DR
Practice Address - Street 2:SUITE B
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1458
Practice Address - Country:US
Practice Address - Phone:626-639-0226
Practice Address - Fax:626-283-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care