MEDICARE: NEW BEGINNINGS SPECIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	7800PCS-0	NV

General Provider Information

NPI Number	:	1083001440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS SPECIAL SERVICES

Provider Business Mailing Address
First Line	:	3376 S EASTERN AVE STE 145
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3388
Country	:	US
Telephone Number	:	702-538-7415
Fax Number	:	702-538-7418

Provider Business Practice Location Address
First Line	:	3376 S EASTERN AVE STE 145
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3388
Country	:	US
Telephone Number	:	702-538-7415
Fax Number	:	702-538-7418

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GAIL M ANDERSON
Credential	:	MBA
Telephone Number	:	702-538-7415

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	04/22/2015

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Directions to “NEW BEGINNINGS SPECIAL SERVICES ” Practice Location

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