Provider Demographics
NPI:1053360388
Name:NEW START HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:NEW START HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAMMERSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:805-520-2727
Mailing Address - Street 1:25044 PEACHLAND AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2552
Mailing Address - Country:US
Mailing Address - Phone:661-255-5368
Mailing Address - Fax:661-255-8371
Practice Address - Street 1:25044 PEACHLAND AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2552
Practice Address - Country:US
Practice Address - Phone:661-255-5368
Practice Address - Fax:661-255-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADME02273F332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02273FMedicaid
CADME02273FMedicaid