Provider Demographics
NPI:1851887871
Name:NUE BEGINNINGS SUPPORTS AND SERVICES LLC
Entity Type:Organization
Organization Name:NUE BEGINNINGS SUPPORTS AND SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-598-5078
Mailing Address - Street 1:1442 SHIRLEY ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-2131
Mailing Address - Country:US
Mailing Address - Phone:678-598-5078
Mailing Address - Fax:770-485-9540
Practice Address - Street 1:1442 SHIRLEY ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-2131
Practice Address - Country:US
Practice Address - Phone:678-598-5078
Practice Address - Fax:770-485-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherIRS