Provider Demographics
NPI:1851172340
Name:NEW GENERATION HEALTH CARE LLC
Entity Type:Organization
Organization Name:NEW GENERATION HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-526-7051
Mailing Address - Street 1:122 BOWDOIN ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2136
Mailing Address - Country:US
Mailing Address - Phone:781-314-6107
Mailing Address - Fax:781-202-4058
Practice Address - Street 1:122 BOWDOIN ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2136
Practice Address - Country:US
Practice Address - Phone:781-314-6107
Practice Address - Fax:781-202-4058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health