1629737929 NPI number — NEW AGE COMMUNITY BASED ADULT SERVICES INC.

Table of content: MR. JAN MICHAEL HUSBY B.S. (NPI 1235477746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629737929 NPI number — NEW AGE COMMUNITY BASED ADULT SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW AGE COMMUNITY BASED ADULT SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629737929
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
780 GREENRIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA CANADA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91011-4203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-731-4990
Provider Business Mailing Address Fax Number:
323-544-2923

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
780 GREENRIDGE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA CANADA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91011-4203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-731-4990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2021

Additional Information

Authorized Official

Authorized Official Last Name:
GHUKASIAN
Authorized Official First Name:
MARYAM
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
626-731-4990

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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