Provider Demographics
NPI:1720046642
Name:NEW GENERATIONS HOME CARE INC.
Entity Type:Organization
Organization Name:NEW GENERATIONS HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BELISSARY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:843-629-0794
Mailing Address - Street 1:1521C S IRBY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3409
Mailing Address - Country:US
Mailing Address - Phone:843-629-0794
Mailing Address - Fax:843-629-0103
Practice Address - Street 1:1521 C. SOUTH IRBY STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29504
Practice Address - Country:US
Practice Address - Phone:843-629-0794
Practice Address - Fax:843-629-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCX0575Medicaid