Provider Demographics
NPI:1639584089
Name:NEW BEGINNINGS RESIDENTIAL CARE
Entity Type:Organization
Organization Name:NEW BEGINNINGS RESIDENTIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:RAVENELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-351-2240
Mailing Address - Street 1:212 MITCHELLBAY LN
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29468-3200
Mailing Address - Country:US
Mailing Address - Phone:843-351-2240
Mailing Address - Fax:843-351-2250
Practice Address - Street 1:212 MITCHELLBAY LN
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29468-3200
Practice Address - Country:US
Practice Address - Phone:843-351-2240
Practice Address - Fax:843-351-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCRC 1521310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility