New Life Community Group Home, Inc.
LBN: New Life Community Group Home, Inc.
New Life Community Group Home, Inc. is an health care organization with primary practice located at 2885 Marshallberg Street , Winston-Salem NC 27105. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
New Life Community Group Home, Inc. can be contacted via phone (336) 595-4501, or through Hardee, Beatrice D via phone (336) 595-4501.
Contact Information
Primary practice address
2885 Marshallberg Street
Winston-Salem NC 27105
Phone: (336) 595-4501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-034-202 | North Carolina |
Profile Details
| NPI number | 1194814038 |
|---|---|
| LBN Legal business name | New Life Community Group Home, Inc. |
| DBA Doing business as | |
| Authorized official | Hardee, Beatrice D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1194814038 | NPPES |
| North Carolina | MEDICAID | 3408142 |
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