MEDICARE: NEW GENERATION HEALTH CARE 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1659920940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW GENERATION HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1423 ADAMS LAKE BLVD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3389
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 ADAMS LAKE BLVD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3389
Country	:	US
Telephone Number	:	404-916-9941
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYPRIAN AMADI
Credential	:
Telephone Number	:	404-916-9941

Provider Enumeration Date	:	09/09/2019
Last Update Date	:	10/19/2022

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