MEDICARE: NEWSOUTH HOMECARE SOLUTIONS INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104965813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWSOUTH HOMECARE SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	421 OLD SWANSBORO RD
Second Line	:
City	:	NEWPORT
State	:	NC
Zip	:	28570-9152
Country	:	US
Telephone Number	:	888-727-0330
Fax Number	:	252-727-0110

Provider Business Practice Location Address
First Line	:	421 OLD SWANSBORO RD
Second Line	:
City	:	NEWPORT
State	:	NC
Zip	:	28570-9152
Country	:	US
Telephone Number	:	888-727-0330
Fax Number	:	252-727-0110

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KIMBERLY MICHELLE PITTMAN
Credential	:	BSN, RN
Telephone Number	:	888-727-0330

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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