Healthcare Provider Details

I. General information

NPI: 1629436753
Provider Name (Legal Business Name): NEW ERA SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 09/02/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W WASHINGTON ST STE B-11
OSWEGO IL
60543-8214
US

IV. Provider business mailing address

123 W WASHINGTON ST B-11
OSWEGO IL
60543-6704
US

V. Phone/Fax

Practice location:
  • Phone: 630-636-6892
  • Fax: 630-636-9152
Mailing address:
  • Phone: 630-636-6892
  • Fax: 630-636-9152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000701
License Number StateIL

VIII. Authorized Official

Name: EMILY SCOTT
Title or Position: VP, QUALITY & COMPLIANCE
Credential: RN
Phone: 812-828-7559