Provider Demographics
NPI:1699198911
Name:NEW SEASON HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:NEW SEASON HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:SHERRARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-699-5607
Mailing Address - Street 1:83 FOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3048
Mailing Address - Country:US
Mailing Address - Phone:314-374-3873
Mailing Address - Fax:
Practice Address - Street 1:83 FOUNTAINVIEW DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3048
Practice Address - Country:US
Practice Address - Phone:314-374-3873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health