=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366839078
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEYA BETTER LIFE HOME HEALTH CARE SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2015
-----------------------------------------------------
Last Update Date | 04/24/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 731 SUNNYFIELD LN
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21225-3364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-636-6029
-----------------------------------------------------
Fax | 410-636-6029
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 731 SUNNYFIELD LN
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21225-3364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-636-6029
-----------------------------------------------------
Fax | 410-636-6029
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | FRANCISCA MBAH
-----------------------------------------------------
Credential | LPN
-----------------------------------------------------
Telephone | 954-599-1579
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------