MEDICARE: A NEW BEGINNING PERSONAL CARE

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

General Provider Information

NPI Number	:	1558917419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW BEGINNING PERSONAL CARE

Provider Business Mailing Address
First Line	:	9632 BREEDEN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-2151
Country	:	US
Telephone Number	:	225-603-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	3613 GOVERNMENT ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-5721
Country	:	US
Telephone Number	:	225-387-5722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES WARREN III
Credential	:
Telephone Number	:	225-603-4995

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	08/15/2019

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