New Life, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1729 Issued in VA

Legal business name

NEW LIFE, LLC

Practice address

610 Thimble Shoals Blvd
Suite 404
Newport News, VA 23606-2573

Phone

(757) 595-3890

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Richard Roman

Title

Cao

Phone

(757) 595-3890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• New Life, LLC

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1710234240

  O20190528002014

  Same enrollment

Tax ID family

New Life 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.

• New Life, LLC

  • Non-emergency Medical Transport (VAN)
  • Newport News, VA
  • NPI 1104382878
  NPD tax ID
• New Life, LLC

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1710234240
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Randolph, LCSW, CSAC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1407302573
  NPD

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1174913099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 404",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-595-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 404",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-595-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "757-595-3890"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakima Bisa Nesbitt, CCC-SLP
• Sharon Neulander, CRNA
• Neuropsychology Associates of Hampton Roads, P.C.
• New Directions for Broken Families
• New Life, LLC
• New Life, LLC
• New Port Psychology PLLC
• New Season Clinical Services, LLC
• Maree Antonette Newby-Sanders, LMT
• Sarah Newcomb, FNP-C

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.