=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700673811
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEWFUTURE CARE AND ASSISTANCE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2025
-----------------------------------------------------
Last Update Date | 04/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5025 GERMANTOWN AVE
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19144-5963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-644-8341
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5025 GERMANTOWN AVE
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19144-5963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-644-8341
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINSTRATOR
-----------------------------------------------------
Name | ANTHONY PAGE JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-581-3923
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 315P00000X
-----------------------------------------------------
Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------