Healthcare Provider Details

I. General information

NPI: 1427770205
Provider Name (Legal Business Name): NEW VIE KARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 LAKE ELLENOR DR
ORLANDO FL
32809-4614
US

IV. Provider business mailing address

9069 OUTLOOK ROCK TRL
WINDERMERE FL
34786-9518
US

V. Phone/Fax

Practice location:
  • Phone: 407-535-1702
  • Fax:
Mailing address:
  • Phone: 407-535-1702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANOUH S. PAUL
Title or Position: OWNER
Credential:
Phone: 407-535-1702