Healthcare Provider Details

I. General information

NPI: 1124551874
Provider Name (Legal Business Name): NEW BEGINNINGS OF QUALITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 NW 5TH AVE # 1
FT LAUDERDALE FL
33311-6027
US

IV. Provider business mailing address

PO BOX 100736
FT LAUDERDALE FL
33310-0736
US

V. Phone/Fax

Practice location:
  • Phone: 954-708-4646
  • Fax: 754-206-2147
Mailing address:
  • Phone: 954-708-4646
  • Fax: 754-206-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberCNA127560
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberCNA127560
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberCNA127560
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberCNA127560
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberCNA127560
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA127560
License Number StateFL

VIII. Authorized Official

Name: NICOLE CALDWELL
Title or Position: OWNER/ MANAGER
Credential:
Phone: 954-708-4646