MEDICARE: NU-ERA HOME HEALTH AGENCY, 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	2462968	CA

General Provider Information

NPI Number	:	1376829770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NU-ERA HOME HEALTH AGENCY, INC

Provider Business Mailing Address
First Line	:	225 WEST HOSPITALITY LN
Second Line	:	#200
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-2739
Country	:	US
Telephone Number	:	909-890-9111
Fax Number	:	909-890-5256

Provider Business Practice Location Address
First Line	:	225 WEST HOSPITALITY LN
Second Line	:	#200
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-2739
Country	:	US
Telephone Number	:	909-890-9111
Fax Number	:	909-890-5256

Authorized Official
Title or Position	:	CEO
Name	:	BARRINGTON RICHARDS
Credential	:
Telephone Number	:	213-200-5300

Provider Enumeration Date	:	10/30/2011
Last Update Date	:	04/17/2014

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