Provider Demographics
NPI:1194548081
Name:NEW GENESIS, INC
Entity type:Organization
Organization Name:NEW GENESIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RILZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SITAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-458-8998
Mailing Address - Street 1:489 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7501
Mailing Address - Country:US
Mailing Address - Phone:978-682-4324
Mailing Address - Fax:
Practice Address - Street 1:489 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7501
Practice Address - Country:US
Practice Address - Phone:978-682-4324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility