MEDICARE: NEW BEGINNINGS OF QUALITY CARE LLC

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	372600000X	Adult Companion	CNA127560	FL
2	3747A0650X	Attendant Care Provider	CNA127560	FL
3	3747P1801X	Personal Care Attendant	CNA127560	FL
4	374U00000X	Home Health Aide	CNA127560	FL
5	376J00000X	Homemaker	CNA127560	FL
6	376K00000X	Nurse's Aide	CNA127560	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124551874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS OF QUALITY CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 100736
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33310-0736
Country	:	US
Telephone Number	:	954-708-4646
Fax Number	:	754-206-2147

Provider Business Practice Location Address
First Line	:	1200 NW 5TH AVE # 1
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33311-6027
Country	:	US
Telephone Number	:	954-708-4646
Fax Number	:	754-206-2147

Authorized Official
Title or Position	:	OWNER/ MANAGER
Name	:	NICOLE CALDWELL
Credential	:
Telephone Number	:	954-708-4646

Provider Enumeration Date	:	04/10/2017
Last Update Date	:	07/21/2022

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Directions to “NEW BEGINNINGS OF QUALITY CARE LLC ” Practice Location

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