Active NPI
New Life Community Services, Inc
- Substance Abuse Rehabilitation Facility
- Santa Cruz, CA
National Provider Identifier
1043792740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- NEW LIFE COMMUNITY SERVICES, INC
- Practice address
- 522 Capitola Road Ext
Santa Cruz, CA 95062-1651 - Phone
- (831) 334-2111
- Fax
- (831) 454-0545
- NPI assigned
- Aug 30, 2018
- Organization subpart
- Yes
- Parent organization
- NEW LIFE COMMUNITY SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Palau
- Title
- Executive Director
- Phone
- (831) 298-5482
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
522 Capitola Road Ext
Santa Cruz, CA 95062-1651
Mailing address
707 Fair Ave
Santa Cruz, CA 95060
Phone (831) 427-1007
Other names 1
- Gemma
National Provider Directory
National Provider Directory- Tax ID family
- New Life Community Services Inc
- Part of
- New Life Community Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Santa Cruz, CA
- NPI 1396250056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Santa Cruz, CA
- NPI 1437622271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1043792740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 FAIR AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-427-1007",
"fax_number": "831-454-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 CAPITOLA ROAD EXT",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621651",
"telephone_number": "831-334-2111",
"fax_number": "831-454-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE COMMUNITY SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW LIFE COMMUNITY SERVICES, INC",
"enumeration_date": "2018-08-30",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "PALAU",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "831-298-5482"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gemma",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.