New Age Services Corporation

LBN: New Age Services Corporation
New Age Services Corporation is an health care organization with primary practice located at 386 N York St , Elmhurst IL 60126-2363. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. New Age Services Corporation can be contacted via phone (630) 501-1742, or through Jefferson, Ulysses Jerome via phone (773) 542-1150.

Contact Information

Primary practice address
386 N York St Elmhurst IL 60126-2363
Phone: (630) 501-1742
Fax: (773) 542-1175
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Ulysses Jerome
Phone: (773) 542-1150

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-0579-0001-A Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X A-0579-0001-A Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 16008 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 16008 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16008 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X A-0579-0001-A Illinois
Agencies / Community/Behavioral Health 251S00000X 16008 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 16008 Illinois
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A-0579-0001-A Illinois
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X Illinois

Profile Details

NPI number 1073023149
LBN Legal business name New Age Services Corporation
DBA Doing business as New Age Services Corporation
Authorized official Jefferson, Ulysses Jerome
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2017
Last updated Dec 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073023149 NPPES
Illinois MEDICAID 333304755-60623-01

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