Provider Demographics
NPI:1023287596
Name:NEWAIR HOME CARE, INC.
Entity type:Organization
Organization Name:NEWAIR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSTERMYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-589-6247
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-0190
Mailing Address - Country:US
Mailing Address - Phone:352-589-6247
Mailing Address - Fax:352-671-5332
Practice Address - Street 1:15519 US HWY 441
Practice Address - Street 2:STE 304C
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-8315
Practice Address - Country:US
Practice Address - Phone:352-589-6247
Practice Address - Fax:352-357-3238
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWAIR HOME CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-28
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313476332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4610120002Medicare NSC