Provider Demographics
NPI:1801124953
Name:NEW SENIOR CARE, LLC
Entity type:Organization
Organization Name:NEW SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-472-2085
Mailing Address - Street 1:121 WEST SYCAMORE ST.
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-4634
Mailing Address - Country:US
Mailing Address - Phone:765-472-2085
Mailing Address - Fax:765-252-4042
Practice Address - Street 1:121 WEST SYCAMORE ST.
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-4634
Practice Address - Country:US
Practice Address - Phone:765-472-2085
Practice Address - Fax:765-252-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty