Provider Demographics
NPI:1851699045
Name:A NEW DAY
Entity Type:Organization
Organization Name:A NEW DAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REDENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-219-7623
Mailing Address - Street 1:17900 BONSTELLE AVE
Mailing Address - Street 2:28475 GREENFIELD SUITE 105
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3478
Mailing Address - Country:US
Mailing Address - Phone:248-809-3257
Mailing Address - Fax:
Practice Address - Street 1:17900 BONSTELLE AVE
Practice Address - Street 2:28475 GREENFIELD SUITE 105
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3478
Practice Address - Country:US
Practice Address - Phone:248-219-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health