Healthcare Provider Details

I. General information

NPI: 1831404102
Provider Name (Legal Business Name): NEW BEGINNINGS HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4080 MCNAMARA WAY
SACRAMENTO CA
95823
US

IV. Provider business mailing address

4080 MCNAMARA WAY
SACRAMENTO CA
95823
US

V. Phone/Fax

Practice location:
  • Phone: 916-400-4793
  • Fax: 916-647-4241
Mailing address:
  • Phone: 916-400-4793
  • Fax: 916-647-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number00350657
License Number StateCA

VIII. Authorized Official

Name: MRS. CATHERINE A. BURGESS
Title or Position: PATIENT CARE COORDINATOR
Credential: A.A, CSS, A.A,S AND
Phone: 916-400-4793