Provider Demographics
NPI:1700925773
Name:NEW DAWN ENTERPRISES, INC.
Entity Type:Organization
Organization Name:NEW DAWN ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELDON
Authorized Official - Middle Name:R
Authorized Official - Last Name:GJERDE
Authorized Official - Suffix:
Authorized Official - Credentials:CCDC II
Authorized Official - Phone:605-456-2968
Mailing Address - Street 1:19271 HIGHWAY 79
Mailing Address - Street 2:P.O. BOX 198
Mailing Address - City:VALE
Mailing Address - State:SD
Mailing Address - Zip Code:57788-0198
Mailing Address - Country:US
Mailing Address - Phone:605-456-2968
Mailing Address - Fax:
Practice Address - Street 1:19271 HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:VALE
Practice Address - State:SD
Practice Address - Zip Code:57788-0198
Practice Address - Country:US
Practice Address - Phone:605-456-2968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD801311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility