Healthcare Provider Details

I. General information

NPI: 1225887045
Provider Name (Legal Business Name): NEWER HEIGHTS DNA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 N ROGERS LN STE 121-5145
RALEIGH NC
27610-6083
US

IV. Provider business mailing address

1030 N ROGERS LN STE 121-5145
RALEIGH NC
27610-6083
US

V. Phone/Fax

Practice location:
  • Phone: 866-213-3520
  • Fax:
Mailing address:
  • Phone: 866-213-3520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: CARESHA RAINEY
Title or Position: FOUNDER
Credential:
Phone: 866-213-3520