MEDICARE: ANEW HEALTHCARE OPERATIONS

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1639887763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANEW HEALTHCARE OPERATIONS

Provider Business Mailing Address
First Line	:	1504 E SOUTH ST
Second Line	:
City	:	MOUNT AYR
State	:	IA
Zip	:	50854-2290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 E SOUTH ST
Second Line	:
City	:	MOUNT AYR
State	:	IA
Zip	:	50854-2260
Country	:	US
Telephone Number	:	417-399-3819
Fax Number	:

Authorized Official
Title or Position	:	ATTORNEY
Name	:	MR. CARSON MOORE LAMB
Credential	:
Telephone Number	:	515-699-3289

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	11/08/2022

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Directions to “ANEW HEALTHCARE OPERATIONS ” Practice Location

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