New-Lite Living Choices Tunstall Marvin Gen PTR

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8300407 Issued in NC

Legal business name

NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR

Practice address

3634 Vest Mill Rd
Winston Salem, NC 27103-2910

Phone

(704) 547-1900

NPI assigned

Feb 22, 2007

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Foltz Cahoon

Title

Billing Specialist

Phone

(704) 906-8893

Specialties & licenses 8

Addresses

Other identifiers 3

Tax ID family

New-Lite Living Choices Tunstall Marvin Gen PTR4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Echo Trail Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Pfafftown, NC
  • NPI 1457528788
  NPD tax ID
• Goldenblush Circle Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
  • NPI 1639336878
  NPD tax ID
• New Lite Living Choices

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1255507992
  NPD tax ID

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1114052123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR",
            "address_2": "SUITE 125",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624385",
            "telephone_number": "704-547-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 VEST MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032910",
            "telephone_number": "704-547-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "CAHOON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "FOLTZ",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "704-906-8893",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8300407",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "6603599",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "6603600",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "6603994",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "6604265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8300407",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8300407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300407H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300407",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300407G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Ideas in Training & Development
• New Leaf Consultant Network LLC
• New Life Community Group Home, Inc.
• New Life Counseling Center, PLLC
• New Salem Counseling
• Charles G New, DDS MS PA
• Heidi Rebecca Newkirk, DPM
• Kimberly Rachel Newland, DPT
• Candice Joan Newman, M.S., CCC-SLP
• Frances G Newman, MSW, LCSW

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.