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NPI Code Detail

MEDICARE: NEW ERA HOME HEALTHCARE SERVICES

MEDICARE: NEW ERA HOME HEALTHCARE SERVICES
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
1251E00000XHome Health AgencyHC1551NC
2251J00000XNursing Care AgencyHC1551NC
3253Z00000XIn Home Supportive Care AgencyHC1551NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HC1551OTHERNCSTATE HOME CARE LICENSE

General Provider Information

NPI Number : 1851745475
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ERA HOME HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 3325 WASHBURN AVE
Second Line : 206
City : CHARLOTTE
State : NC
Zip : 28205-7024
Country : US
Telephone Number : 704-606-3238
Fax Number :
Provider Business Practice Location Address
First Line : 3325 WASHBURN AVE
Second Line : 206
City : CHARLOTTE
State : NC
Zip : 28205-7024
Country : US
Telephone Number : 704-606-3238
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ORWELL ALLISON
Credential :
Telephone Number : 704-940-0552
Provider Enumeration Date : 04/20/2016
Last Update Date : 04/20/2016

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Directions to “NEW ERA HOME HEALTHCARE SERVICES ” Practice Location

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