Provider Demographics
NPI:1700840014
Name:NEW AGE HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:NEW AGE HEALTH CARE CORPORATION
Other - Org Name:EMERALD HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:R
Authorized Official - Last Name:ERB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-429-5880
Mailing Address - Street 1:510 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2051
Mailing Address - Country:US
Mailing Address - Phone:412-429-5880
Mailing Address - Fax:412-429-5883
Practice Address - Street 1:510 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2051
Practice Address - Country:US
Practice Address - Phone:412-429-5880
Practice Address - Fax:412-429-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02220501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010472740003Medicaid
PA1010472740006Medicaid
PA1010472740007Medicaid
PA1010472740002Medicaid
PA1010472740007Medicaid