Provider Demographics
NPI:1790046647
Name:GREATER NEW BEGINNING HOMES INC.
Entity Type:Organization
Organization Name:GREATER NEW BEGINNING HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ZIPPORA
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-640-0523
Mailing Address - Street 1:1635 28TH PLACE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:202-735-5050
Mailing Address - Fax:
Practice Address - Street 1:1635 28TH PLACE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-735-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization