Provider Demographics
NPI:1831108927
Name:NEW DIMENSIONS INC
Entity Type:Organization
Organization Name:NEW DIMENSIONS INC
Other - Org Name:NORTHEASTERN HOME NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-394-3710
Mailing Address - Street 1:1569 WOODLAND ST NE
Mailing Address - Street 2:8
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5346
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1569 WOODLAND ST NE
Practice Address - Street 2:8
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-5346
Practice Address - Country:US
Practice Address - Phone:330-394-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2377833Medicaid
OH2377833Medicaid