Provider Demographics
NPI:1316092729
Name:NEW WAY SERVICES INC
Entity type:Organization
Organization Name:NEW WAY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUPE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-370-9603
Mailing Address - Street 1:1170 BURNETT AVE STE K
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5613
Mailing Address - Country:US
Mailing Address - Phone:925-370-9603
Mailing Address - Fax:925-688-1525
Practice Address - Street 1:4109 NULL DRIVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509
Practice Address - Country:US
Practice Address - Phone:925-757-0887
Practice Address - Fax:925-688-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
55G435OtherMEDI-CAL