Provider Demographics
NPI:1982833968
Name:NEW GENERATION HOME CARE
Entity Type:Organization
Organization Name:NEW GENERATION HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER/ CO-DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-229-5031
Mailing Address - Street 1:3500 ENDURING FREEDOM DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5592
Mailing Address - Country:US
Mailing Address - Phone:910-229-5031
Mailing Address - Fax:
Practice Address - Street 1:11448 US HWY 70 WEST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:910-229-5031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3819253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care