Provider Demographics
NPI:1740617745
Name:NEW BEGINNING CARE HOME
Entity Type:Organization
Organization Name:NEW BEGINNING CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRASWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-914-8284
Mailing Address - Street 1:2971 ELDRON BLVD SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6498
Mailing Address - Country:US
Mailing Address - Phone:321-956-2082
Mailing Address - Fax:321-728-9351
Practice Address - Street 1:2971 ELDRON BLVD SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-6498
Practice Address - Country:US
Practice Address - Phone:321-956-2082
Practice Address - Fax:321-728-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11827310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility