MEDICARE: NEW GENERATION PRENATAL COORDINATION CARE 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	251B00000X	Case Management Agency

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
2	100172042	OTHER	WI	85-EVV

General Provider Information

NPI Number	:	1851961874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW GENERATION PRENATAL COORDINATION CARE LLC

Provider Business Mailing Address
First Line	:	5162 N 60TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-4103
Country	:	US
Telephone Number	:	414-426-8335
Fax Number	:

Provider Business Practice Location Address
First Line	:	5162 N 60TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-4103
Country	:	US
Telephone Number	:	414-426-8335
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JASMIN PARCHMAN
Credential	:
Telephone Number	:	414-426-8335

Provider Enumeration Date	:	06/30/2021
Last Update Date	:	06/30/2021

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