Provider Demographics
NPI:1679100606
Name:NEWGREEN INHOMECARE GROUP INC
Entity Type:Organization
Organization Name:NEWGREEN INHOMECARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-218-1624
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:BLACK CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27813-0095
Mailing Address - Country:US
Mailing Address - Phone:252-218-1624
Mailing Address - Fax:888-411-5937
Practice Address - Street 1:121 NAST STREET N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893
Practice Address - Country:US
Practice Address - Phone:252-218-1624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care