New Life Home LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

NEW LIFE HOME LLC

Practice address

1070 NE Country Club Ave
Gresham, OR 97030-6016

Phone

(503) 491-9333

NPI assigned

Apr 10, 2022

Organization subpart

No

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

Authorized official

Name

Lucy Machua

Title

Director

Phone

(314) 372-7821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1083356133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 NE COUNTRY CLUB AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306016",
            "telephone_number": "503-491-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 NE COUNTRY CLUB AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306016",
            "telephone_number": "503-491-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "MACHUA",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-372-7821"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Gresham, OR
• Providers in Gresham, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.