Provider Demographics
NPI:1629436753
Name:NEW ERA SUPPORT SERVICES INC.
Entity Type:Organization
Organization Name:NEW ERA SUPPORT SERVICES INC.
Other - Org Name:NESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANAH
Authorized Official - Middle Name:OMOBOLA
Authorized Official - Last Name:OLATUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-636-6892
Mailing Address - Street 1:68 MAIN ST
Mailing Address - Street 2:SUITE1
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9861
Mailing Address - Country:US
Mailing Address - Phone:630-636-6892
Mailing Address - Fax:630-636-9152
Practice Address - Street 1:123 W WASHINGTON ST STE B-11
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8214
Practice Address - Country:US
Practice Address - Phone:630-636-6892
Practice Address - Fax:630-636-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000701253Z00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care