New Era Rehabilitation Center, Inc
LBN: New Era Rehabilitation Center, Inc
New Era Rehabilitation Center, Inc is an health care organization with primary practice located at 4675 Main Street , Bridgeport CT 06606-2864. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
New Era Rehabilitation Center, Inc can be contacted via phone (203) 344-0025, or through Kolade, Ebenezer Adekunle via phone (203) 562-2101.
Contact Information
Primary practice address
4675 Main Street
Bridgeport CT 06606-2864
Phone: (203) 344-0025
Fax: (203) 374-7515
Website:
Authorized official contact:
Name: Kolade, Ebenezer Adekunle Doctor of Medicine (MD)
Phone: (203) 562-2101
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 042947 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 042947 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 040029 | Connecticut |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 0266 | Connecticut |
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 0266 | Connecticut |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 0266 | Connecticut |
Profile Details
| NPI number | 1255372108 |
|---|---|
| LBN Legal business name | New Era Rehabilitation Center, Inc |
| DBA Doing business as | |
| Authorized official | Kolade, Ebenezer Adekunle Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | May 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255372108 | NPPES |
| Connecticut | MEDICAID | 4224507 |
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