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NPI Code Detail

MEDICARE: NEW CENTURY HOME HEALTH CARE, INC.

MEDICARE: NEW CENTURY HOME HEALTH 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
1251E00000XHome Health Agency237453MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OE938OTHERMIBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821103144
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW CENTURY HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 1387 E 12 MILE ROAD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-2654
Country : US
Telephone Number : 248-398-9600
Fax Number : 248-398-9601
Provider Business Practice Location Address
First Line : 1387 E 12 MILE ROAD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-2654
Country : US
Telephone Number : 248-398-9600
Fax Number : 248-398-9601
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. NANCY P RAZALAN
Credential :
Telephone Number : 248-398-9600
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/06/2013

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