Provider Demographics
NPI:1093544165
Name:NEWART HOME CARE INC
Entity type:Organization
Organization Name:NEWART HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:678-520-8468
Mailing Address - Street 1:410 E TAYLOR ST STE L4
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-3424
Mailing Address - Country:US
Mailing Address - Phone:678-520-8468
Mailing Address - Fax:
Practice Address - Street 1:410 E TAYLOR ST STE L4
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-3424
Practice Address - Country:US
Practice Address - Phone:678-520-8468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care