New Wave Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NEW WAVE HOME CARE LLC

Practice address

3422 Harvest Meadow LN
Rosenberg, TX 77471-1748

Phone

(215) 582-9779

NPI assigned

Aug 22, 2023

Organization subpart

No

Name

Terrance A MackNPI 1255022786

Title

Alt Administrator/Managing Member

Phone

(215) 582-9779

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrance Mack

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1255022786
  NPD Authorized official

• New Wave Home Care TX Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2023.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1124802905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 HARVEST MEADOW LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774711748",
            "telephone_number": "215-582-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 HARVEST MEADOW LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774711748",
            "telephone_number": "215-582-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "215-582-9779"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Wave Home Care TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Amobi Ndukwe, PHARM D.
• Joan Ndumbe
• Tyiska Nears
• Asim Nehal, RBT
• Sosania Shakira Nelson
• Next Level MV LLC
• Vy Thy Ngo
• Edward Nguyen
• Henry Nguyen
• Kim Ngoc Nguyen, D.P.M

• All providers in Rosenberg, TX
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.