MEDICARE: NEW BEGINNINGS SENIOR CONCIERGE SERVICES, 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	251B00000X	Case Management Agency	0164801422	VA

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	:	1629472378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS SENIOR CONCIERGE SERVICES, INC.

Provider Business Mailing Address
First Line	:	2101 E PARHAM RD
Second Line	:	SUITE 105
City	:	HENRICO
State	:	VA
Zip	:	23228-2234
Country	:	US
Telephone Number	:	804-262-5721
Fax Number	:	804-262-5453

Provider Business Practice Location Address
First Line	:	2101 E PARHAM RD
Second Line	:	SUITE 105
City	:	HENRICO
State	:	VA
Zip	:	23228-2234
Country	:	US
Telephone Number	:	804-262-5721
Fax Number	:	804-262-5453

Authorized Official
Title or Position	:	OWNER/CASE MANAGER
Name	:	BERNARD DEAN OGBURN
Credential	:
Telephone Number	:	804-262-5721

Provider Enumeration Date	:	10/09/2014
Last Update Date	:	10/09/2014

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