Provider Demographics
NPI:1528782570
Name:NEW ESTUARY HOME CARE, LLC
Entity type:Organization
Organization Name:NEW ESTUARY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUTTBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-541-1160
Mailing Address - Street 1:15919 US HIGHWAY 17 STE D
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3748
Mailing Address - Country:US
Mailing Address - Phone:910-541-1160
Mailing Address - Fax:910-541-1160
Practice Address - Street 1:13775 NC-50
Practice Address - Street 2:SUITE 104
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445
Practice Address - Country:US
Practice Address - Phone:910-541-1160
Practice Address - Fax:910-541-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health