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NPI Code Detail

MEDICARE: NEW START OF NORTH CAROLINA

MEDICARE: NEW START OF NORTH CAROLINA
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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment FacilityNC

Other Identifiers

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

General Provider Information

NPI Number : 1629277397
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW START OF NORTH CAROLINA
Provider Business Mailing Address
First Line : PO BOX 1523
Second Line :
City : GREENVILLE
State : NC
Zip : 27835-1523
Country : US
Telephone Number : 252-413-0064
Fax Number : 252-439-0666
Provider Business Practice Location Address
First Line : 708 W 14TH AVE
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-3083
Country : US
Telephone Number : 252-413-0064
Fax Number : 252-439-0666
Authorized Official
Title or Position : OWENER OPERATOR
Name : MS. RAMONA HART
Credential :
Telephone Number : 252-327-8225
Provider Enumeration Date : 07/13/2007
Last Update Date : 07/21/2022

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Directions to “NEW START OF NORTH CAROLINA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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