Healthcare Provider Details

I. General information

NPI: 1720046642
Provider Name (Legal Business Name): NEW GENERATIONS HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 C. SOUTH IRBY STREET
FLORENCE SC
29504
US

IV. Provider business mailing address

1521C S IRBY ST
FLORENCE SC
29505-3409
US

V. Phone/Fax

Practice location:
  • Phone: 843-629-0794
  • Fax: 843-629-1334
Mailing address:
  • Phone: 843-629-0794
  • Fax: 843-629-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: GAIL B BELISSARY
Title or Position: OWNER ADMINISTRATOR
Credential: RN,BSN
Phone: 843-629-0794