NPI Code Details Logo

NPI 1891292710

NPI 1891292710 : NEW ERA CARE LLC : GAITHERSBURG, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891292710
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NEW ERA CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/08/2018
-----------------------------------------------------
    Last Update Date     |    04/08/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17 DUVALL LN 
-----------------------------------------------------
    City                 |    GAITHERSBURG
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20877-1838
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-956-7996
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    17 DUVALL LN 
-----------------------------------------------------
    City                 |    GAITHERSBURG
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20877-1838
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-956-7996
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     SAMUEL  MENSAH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    301-956-7996
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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