Provider Demographics
NPI:1366086308
Name:NEW ERA INNOVATIONS L.L.C
Entity type:Organization
Organization Name:NEW ERA INNOVATIONS L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJADA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:725-224-2053
Mailing Address - Street 1:222 S MAIN ST FL 5
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2174
Mailing Address - Country:US
Mailing Address - Phone:801-448-1035
Mailing Address - Fax:
Practice Address - Street 1:222 S MAIN ST FL 5
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-2174
Practice Address - Country:US
Practice Address - Phone:801-448-1035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WARMTH HOSPICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-02
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based