Provider Demographics
NPI:1891736286
Name:NEW START HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:NEW START HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAMMERSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RCP, RRT
Authorized Official - Phone:805-520-2727
Mailing Address - Street 1:90 W COCHRAN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-0963
Mailing Address - Country:US
Mailing Address - Phone:805-520-2727
Mailing Address - Fax:805-520-7802
Practice Address - Street 1:2175 AGATE CT STE B
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1839
Practice Address - Country:US
Practice Address - Phone:805-520-2727
Practice Address - Fax:805-520-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44408332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02273FMedicaid
CA1019580001Medicare NSC