Provider Demographics
NPI:1194498758
Name:NEW HEIGHTS HEALTHCARE
Entity type:Organization
Organization Name:NEW HEIGHTS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ATEMLEFAC
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-217-1547
Mailing Address - Street 1:13542 N FLORIDA AVE STE 108C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13542 N FLORIDA AVE STE 108C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3206
Practice Address - Country:US
Practice Address - Phone:616-217-1547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health