Provider Demographics
NPI:1639381403
Name:NEW BEGININGS IN-HOME SERVICES LLC
Entity Type:Organization
Organization Name:NEW BEGININGS IN-HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING-PAYROLL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JATUANE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-725-2626
Mailing Address - Street 1:200 SOUTH HANLEY
Mailing Address - Street 2:SUITE 403
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105
Mailing Address - Country:US
Mailing Address - Phone:314-725-2626
Mailing Address - Fax:314-725-3210
Practice Address - Street 1:200 SOUTH HANLEY
Practice Address - Street 2:SUITE 403
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105
Practice Address - Country:US
Practice Address - Phone:314-725-2626
Practice Address - Fax:314-725-3210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGININGS IN-HOME SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-04
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO264675109Medicaid
MO284675105Medicaid