Provider Demographics
| NPI: | 1235895525 |
|---|---|
| Name: | NEW BEGINNINGS CARE |
| Entity type: | Organization |
| Organization Name: | NEW BEGINNINGS CARE |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | GM |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KEVIN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KIRK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 201-249-1621 |
| Mailing Address - Street 1: | 43 HARRISON AVE # 2 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GARFIELD |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07026-1801 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 201-249-1621 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 43 HARRISON AVE # 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | GARFIELD |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07026-1801 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 120-124-9162 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-11-11 |
| Last Update Date: | 2021-11-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | |
| No | 305R00000X | Managed Care Organizations | Preferred Provider Organization | ||
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances | |
| No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | ||
| No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | |
| No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | ||
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | Group - Multi-Specialty | |
| No | 372500000X | Nursing Service Related Providers | Chore Provider | Group - Multi-Specialty | |
| No | 3747A0650X | Nursing Service Related Providers | Technician | Attendant Care Provider | Group - Multi-Specialty |
