Provider Demographics
NPI:1326923558
Name:NEWDESTHOMES LLC
Entity type:Organization
Organization Name:NEWDESTHOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKWA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREMBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-949-9904
Mailing Address - Street 1:1508 WILLOW BRANCH WAY
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-6829
Mailing Address - Country:US
Mailing Address - Phone:443-694-9904
Mailing Address - Fax:
Practice Address - Street 1:1508 WILLOW BRANCH WAY
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-6829
Practice Address - Country:US
Practice Address - Phone:443-694-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health