Healthcare Provider Details

I. General information

NPI: 1831089259
Provider Name (Legal Business Name): NEW STATE CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3754 COLUMBUS DR
BALTIMORE MD
21215-6122
US

IV. Provider business mailing address

3754 COLUMBUS DR
BALTIMORE MD
21215-6122
US

V. Phone/Fax

Practice location:
  • Phone: 443-226-7844
  • Fax:
Mailing address:
  • Phone: 443-226-7844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMEKA IDELI
Title or Position: CEO
Credential:
Phone: 443-226-7844