Basic Information
| Provider Information | |||||||||
| NPI: | 1992374656 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW ERA BUSINESS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 815 W DAUGHTERY RD | ||||||||
| Address2: | |||||||||
| City: | LAKELAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338093121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8638590475 | ||||||||
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| Practice Location | |||||||||
| Address1: | 815 W DAUGHTERY RD | ||||||||
| Address2: | |||||||||
| City: | LAKELAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338093121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8638590475 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2021 | ||||||||
| LastUpdateDate: | 06/17/2021 | ||||||||
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| AuthorizedOfficialLastName: | HUSAIN | ||||||||
| AuthorizedOfficialFirstName: | SYED | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4697396473 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 06/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3104A0625X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No ID Information.