Provider Demographics
NPI:1790409266
Name:NEW BIRTH HEALTH, LLC
Entity Type:Organization
Organization Name:NEW BIRTH HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ONIKA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-274-7415
Mailing Address - Street 1:1419 E HOWE SPRINGS RD STE C
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6661
Mailing Address - Country:US
Mailing Address - Phone:864-274-7415
Mailing Address - Fax:
Practice Address - Street 1:1419 E HOWE SPRINGS RD STE C
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6661
Practice Address - Country:US
Practice Address - Phone:864-274-7415
Practice Address - Fax:843-407-5039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BIRTH HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies