MEDICARE: NEW ERA SUPPORT SERVICES, 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	3000701	IL
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1629436753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ERA SUPPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	123 W WASHINGTON ST
Second Line	:	B-11
City	:	OSWEGO
State	:	IL
Zip	:	60543-6704
Country	:	US
Telephone Number	:	630-636-6892
Fax Number	:	630-636-9152

Provider Business Practice Location Address
First Line	:	123 W WASHINGTON ST STE B-11
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-8214
Country	:	US
Telephone Number	:	630-636-6892
Fax Number	:	630-636-9152

Authorized Official
Title or Position	:	VP, QUALITY & COMPLIANCE
Name	:	EMILY SCOTT
Credential	:	RN
Telephone Number	:	812-828-7559

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	09/02/2025

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