Basic Information
| Provider Information | |||||||||
| NPI: | 1083949192 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NEW DAWN HOMEHEALH SERVICES INC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 12801 KEYSTONE DR | ||||||||
| Address2: | |||||||||
| City: | BALCH SPRINGS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751802388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4698786318 | ||||||||
| FaxNumber: | 2147726226 | ||||||||
| Practice Location | |||||||||
| Address1: | 12801 KEYSTONE DR | ||||||||
| Address2: | |||||||||
| City: | BALCH SPRINGS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4698786318 | ||||||||
| FaxNumber: | 2147726226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | UKADIKE | ||||||||
| AuthorizedOfficialFirstName: | EVELYN | ||||||||
| AuthorizedOfficialMiddleName: | EBERE | ||||||||
| AuthorizedOfficialTitleorPosition: | LVN | ||||||||
| AuthorizedOfficialTelephone: | 4698786318 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | ADMINISTRATOR | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | TX | Y | Agencies | Home Health |
No ID Information.