NPIMap

Organization Active NPI

New Life Health Care Agency LLC

  • Exclusive Provider Organization
  • Hamilton, NJ
National Provider Identifier
1093185233
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
HP011100 Issued in NJ
Legal business name
NEW LIFE HEALTH CARE AGENCY LLC
Practice address
3642 Nottingham Way
Hamilton, NJ 08690-2612
Phone
(609) 890-2804
Fax
(609) 890-2803
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mr. Seth Z. Taylor Sr., BSC
Title
President/Ceo
Phone
(609) 890-2804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X HP011100 NJ Primary

Addresses

Primary practice location

3642 Nottingham Way
Hamilton, NJ 08690-2612

Mailing address

3642 Nottingham Way
Hamilton, NJ 08690-2612
Phone (609) 890-2804

National Provider Directory

National Provider Directory
Tax ID family
New Life Health Care Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1093185233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 NOTTINGHAM WAY",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086902612",
            "telephone_number": "609-890-2804",
            "fax_number": "609-890-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 NOTTINGHAM WAY",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086902612",
            "telephone_number": "609-890-2804",
            "fax_number": "609-890-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-890-2804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "HP011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.