MEDICARE: NEWTON-ATLANTIC, 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	253Z00000X	In Home Supportive Care Agency

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	:	1225570708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTON-ATLANTIC, LLC

Provider Business Mailing Address
First Line	:	2133 UPTON DR
Second Line	:	STE., 126-182
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1193
Country	:	US
Telephone Number	:	757-355-5080
Fax Number	:	757-355-5081

Provider Business Practice Location Address
First Line	:	1520 STONEMOSS CT
Second Line	:	SUITE 101
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5731
Country	:	US
Telephone Number	:	757-388-5080
Fax Number	:	757-355-5081

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. SHIRLEY A BAPTISTE ZWAHL
Credential	:
Telephone Number	:	757-355-5080

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	11/15/2016

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Directions to “NEWTON-ATLANTIC, LLC ” Practice Location

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