NPIMap

Organization Active NPI

New Life Care Center Int

  • Child Physical Disabilities Respite Care
  • Mesa, AZ
National Provider Identifier
1023441987
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
21024 Issued in AZ
Legal business name
NEW LIFE CARE CENTER INT
Practice address
650 S Country Club Dr Apt 125
Mesa, AZ 85210-2341
Phone
(480) 696-9886
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michaelle Sudney
Title
Manager
Phone
(480) 696-9886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 394330 AZ
Child Physical Disabilities Respite Care 385HR2065X 21024 AZ Primary

Addresses

Primary practice location

650 S Country Club Dr Apt 125
Mesa, AZ 85210-2341

Mailing address

650 S Country Club Dr Apt 125
Mesa, AZ 85210-2341
Phone (480) 696-9886

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1023441987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S COUNTRY CLUB DR APT 125",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102341",
            "telephone_number": "480-696-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S COUNTRY CLUB DR APT 125",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102341",
            "telephone_number": "480-696-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CARE CENTER INT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "SUDNEY",
        "authorized_official_first_name": "MICHAELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-696-9886"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "394330",
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AZ",
            "license": "21024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.