New Life Mental Management Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEW LIFE MENTAL MANAGEMENT CORP

Practice address

3904 NW 167TH St
Opa Locka, FL 33054-6233

Phone

(305) 393-5303

Fax

(305) 513-9338

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ihosvany Escobar

Title

Vice President

Phone

(786) 457-1263

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063921401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 NW 167TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546233",
            "telephone_number": "305-393-5303",
            "fax_number": "305-513-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 NW 167TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546233",
            "telephone_number": "305-393-5303",
            "fax_number": "305-513-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MENTAL MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "IHOSVANY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-457-1263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.