Provider Demographics
NPI:1831697044
Name:NEW ERA HOME CARE LLC
Entity type:Organization
Organization Name:NEW ERA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPONG-DWAMENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-970-5463
Mailing Address - Street 1:92 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2646
Mailing Address - Country:US
Mailing Address - Phone:732-970-5463
Mailing Address - Fax:732-441-3838
Practice Address - Street 1:92 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2646
Practice Address - Country:US
Practice Address - Phone:732-970-5463
Practice Address - Fax:732-441-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0270800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0270800OtherNEW JERSEY DIVISION OF CONSUMER AFFAIRS