MEDICARE: NEW BEGINNINGS RECOVERY, 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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1902315385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS RECOVERY, INC.

Provider Business Mailing Address
First Line	:	121 CAPITAL AVE NE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-3928
Country	:	US
Telephone Number	:	269-704-7564
Fax Number	:	269-753-1770

Provider Business Practice Location Address
First Line	:	15145 LINCOLN HWY
Second Line	:
City	:	VAN WERT
State	:	OH
Zip	:	45891-9619
Country	:	US
Telephone Number	:	419-910-9229
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF INSURANCE SERVICES
Name	:	CINDY PIERCE
Credential	:
Telephone Number	:	269-704-7564

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	04/03/2018

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