Provider Demographics
NPI:1265582035
Name:NEW ERA HOME CARE, INC.
Entity type:Organization
Organization Name:NEW ERA HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR-DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCARAZ-GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA
Authorized Official - Phone:847-673-0755
Mailing Address - Street 1:7301 N LINCOLN AVE
Mailing Address - Street 2:SUITE 129
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1709
Mailing Address - Country:US
Mailing Address - Phone:847-673-0755
Mailing Address - Fax:847-673-0788
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:SUITE 129
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1709
Practice Address - Country:US
Practice Address - Phone:847-673-0755
Practice Address - Fax:847-673-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010682251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health