Provider Demographics
NPI:1174015226
Name:NEW BEGINNINGS HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-221-9168
Mailing Address - Street 1:2 CITYPLACE DR STE 224
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7390
Mailing Address - Country:US
Mailing Address - Phone:314-221-9168
Mailing Address - Fax:
Practice Address - Street 1:2 CITYPLACE DR STE 224
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7390
Practice Address - Country:US
Practice Address - Phone:314-221-9168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health