Healthcare Provider Details

I. General information

NPI: 1326985664
Provider Name (Legal Business Name): NEW AGE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 ANDYS LN
WILMINGTON DE
19810-2355
US

IV. Provider business mailing address

2300 ANDYS LN
WILMINGTON DE
19810-2355
US

V. Phone/Fax

Practice location:
  • Phone: 218-305-1922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SOBIA ATA
Title or Position: CEO
Credential:
Phone: 218-305-1922