NPIMap

Organization Active NPI

New Way Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, CA
National Provider Identifier
1104098953
Registry record updated Dec 4, 2023
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
140000680 Issued in CA
Legal business name
NEW WAY SERVICES INC
Practice address
2639 Sheppard Way
Antioch, CA 94509-4354
Phone
(925) 688-1521
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Ms. Lupe M Henry
Title
Director/Provider
Phone
(925) 370-9603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 140000680 CA Primary

Addresses

Primary practice location

2639 Sheppard Way
Antioch, CA 94509-4354

Mailing address

1170 Burnett Ave Ste K
Concord, CA 94520-5613
Phone (925) 370-9603

Other identifiers 1

IdentifierTypeStateIssuer
05 G390OtherCAPROVIDER NUMBER

Other names 1

  • NEW WAY ICF/DD-N #5 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G390

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SHEPPARD WAY ICF/DDN
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 10, 1989
Last certification
Aug 15, 2024
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Nov 13, 2008
Facility address
2639 Sheppard Way
Antioch, CA 94509

National Provider Directory

National Provider Directory
Tax ID family
New Way Icf DD H 211 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1104098953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BURNETT AVE STE K",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205613",
            "telephone_number": "925-370-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 SHEPPARD WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094354",
            "telephone_number": "925-688-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LUPE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "925-370-9603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "140000680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "05 G390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW WAY ICF/DD-N #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW WAY ICF/DD-N #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.