Provider Demographics
NPI:1538597257
Name:NEW DIMENSIONS ELDERLY CARE SERVICES
Entity type:Organization
Organization Name:NEW DIMENSIONS ELDERLY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ARTELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-294-2754
Mailing Address - Street 1:3911 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-4043
Mailing Address - Country:US
Mailing Address - Phone:561-294-2754
Mailing Address - Fax:561-882-0503
Practice Address - Street 1:3911 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-4043
Practice Address - Country:US
Practice Address - Phone:561-294-2754
Practice Address - Fax:561-882-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL227709253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL677229300Medicaid