NEW AGE HOME CARE INC. NPI 1154312486

NPI Information

NPI: 1154312486
Provider Name: NEW AGE HOME CARE, INC.
Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
4288 ARTHUR KILL RD STE 2
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 980-3793
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NEW AGE HOME CARE, INC. is a home infusion in Staten Island, NY. NEW AGE HOME CARE, INC. NPI is 1154312486. The provider is registered as an organization entity type.

The provider's business location address is:

4288 ARTHUR KILL RD STE 2
STATEN ISLAND, NY
ZIP 10309-331
Phone: (718) 980-3793
Fax: (718) 980-3799

The provider's authorized official is Robert Hagerman .
The authorized official title is Pre/ceo and has the following contact phone number (718) 980-3793.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion		9739L001	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0852020001	MEDICARE NSC	NEW YORK
2	01597277	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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