Provider Demographics
NPI:1588609028
Name:NEW ERA HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:NEW ERA HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-235-0009
Mailing Address - Street 1:9241 LBJ FWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3478
Mailing Address - Country:US
Mailing Address - Phone:972-235-0009
Mailing Address - Fax:972-690-1644
Practice Address - Street 1:9241 LBJ FWY
Practice Address - Street 2:SUITE 208
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3478
Practice Address - Country:US
Practice Address - Phone:972-235-0009
Practice Address - Fax:972-690-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008757251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013577Medicaid
TX1013577Medicaid