Provider Demographics
NPI:1063665685
Name:NEW BEGINNINGS HEALTH CARE CENTER LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS HEALTH CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O., CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-228-6446
Mailing Address - Street 1:829 W COURT ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3578
Mailing Address - Country:US
Mailing Address - Phone:402-228-6446
Mailing Address - Fax:402-228-0394
Practice Address - Street 1:829 W COURT ST
Practice Address - Street 2:SUITE #4
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3578
Practice Address - Country:US
Practice Address - Phone:402-228-6446
Practice Address - Fax:402-228-0394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110019363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025617500Medicaid
NE10025637300Medicaid