Provider Demographics
NPI:1821103144
Name:NEW CENTURY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NEW CENTURY HOME HEALTH CARE, INC.
Other - Org Name:NEW CENTURY HOME HEALTH CARE, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAZALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-398-9600
Mailing Address - Street 1:1387 E 12 MILE ROAD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2654
Mailing Address - Country:US
Mailing Address - Phone:248-398-9600
Mailing Address - Fax:248-398-9601
Practice Address - Street 1:1387 E 12 MILE ROAD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2654
Practice Address - Country:US
Practice Address - Phone:248-398-9600
Practice Address - Fax:248-398-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237453251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOE938OtherBLUE CROSS BLUE SHIELD
MI4329371Medicaid
MIOE938OtherBLUE CROSS BLUE SHIELD