MEDICARE: NEWERA HEALTH 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1215764626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWERA HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	5100 BUCKEYSTOWN PIKE SUITE 250 OFFICE 4552
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 BUCKEYSTOWN PIKE SUITE 250 OFFICE 4552
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704
Country	:	US
Telephone Number	:	240-659-3149
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ORIYOMI T SHOKUNBI
Credential	:
Telephone Number	:	240-659-3149

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	09/18/2024

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