Healthcare Provider Details

I. General information

NPI: 1467574236
Provider Name (Legal Business Name): NEW CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 MAIN AVE
CRIVITZ WI
54114-1619
US

IV. Provider business mailing address

PO BOX 460
CRIVITZ WI
54114-0460
US

V. Phone/Fax

Practice location:
  • Phone: 715-854-2717
  • Fax: 715-854-2554
Mailing address:
  • Phone: 715-854-2717
  • Fax: 715-854-2554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3110
License Number StateWI

VIII. Authorized Official

Name: DEBRA WIETING
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 715-854-2717