NPI Code Details Logo

NPI 1831089259

NPI 1831089259 : NEW STATE CARE SERVICES INC : BALTIMORE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1831089259
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NEW STATE CARE SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/07/2025
-----------------------------------------------------
    Last Update Date     |    07/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3754 COLUMBUS DR 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21215-6122
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-226-7844
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3754 COLUMBUS DR 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21215-6122
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-226-7844
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     EMEKA  IDELI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    443-226-7844
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QA0600X
-----------------------------------------------------
    Taxonomy Name        |    Adult Day Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QH0100X
-----------------------------------------------------
    Taxonomy Name        |    Health Service Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QD1600X
-----------------------------------------------------
    Taxonomy Name        |    Developmental Disabilities Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.