MEDICARE: NEW START HOME CARE AGENCY 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790302354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW START HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	5750 CHESAPEAKE BLVD STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-5325
Country	:	US
Telephone Number	:	757-937-6035
Fax Number	:	757-271-9301

Provider Business Practice Location Address
First Line	:	5750 CHESAPEAKE BLVD STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-5325
Country	:	US
Telephone Number	:	757-937-6035
Fax Number	:	757-383-6817

Authorized Official
Title or Position	:	ADMINISTRATOR/MANAGING MEMBER
Name	:	MS. WAKEELAH ANEESHA BYNUM
Credential	:
Telephone Number	:	757-937-6035

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/06/2024

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Directions to “NEW START HOME CARE AGENCY LLC ” Practice Location

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