MEDICARE: NEWTON'S HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1598270662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTON'S HOME CARE INC

Provider Business Mailing Address
First Line	:	1003 S ALEXANDER ST STE 11
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8400
Country	:	US
Telephone Number	:	813-203-7460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 S ALEXANDER ST STE 11
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8400
Country	:	US
Telephone Number	:	813-203-7460
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CLYDE VERNON NEWTON JR.
Credential	:
Telephone Number	:	813-203-7460

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	12/11/2017

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