Provider Demographics
NPI:1831400456
Name:NEW ERA SERVICE FOR SENIORS,LLC
Entity type:Organization
Organization Name:NEW ERA SERVICE FOR SENIORS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DESIGNATED MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-388-4777
Mailing Address - Street 1:8630 DELMAR BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2208
Mailing Address - Country:US
Mailing Address - Phone:314-388-4777
Mailing Address - Fax:314-388-3131
Practice Address - Street 1:8630 DELMAR BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2208
Practice Address - Country:US
Practice Address - Phone:314-388-4777
Practice Address - Fax:314-388-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care