Provider Demographics
NPI:1629472378
Name:NEW BEGINNINGS SENIOR CONCIERGE SERVICES, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS SENIOR CONCIERGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:OGBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-262-5721
Mailing Address - Street 1:2101 E PARHAM RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2234
Mailing Address - Country:US
Mailing Address - Phone:804-262-5721
Mailing Address - Fax:804-262-5453
Practice Address - Street 1:2101 E PARHAM RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2234
Practice Address - Country:US
Practice Address - Phone:804-262-5721
Practice Address - Fax:804-262-5453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0164801422251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0164801422Medicaid