NPIMap

Organization Active NPI

New Life Services Inc.

  • Substance Abuse Rehabilitation Facility
  • Lumberton, NC
National Provider Identifier
1205076973
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHL-078-130 Issued in NC
Legal business name
NEW LIFE SERVICES INC.
Practice address
2003 Godwin Ave Ste C
Lumberton, NC 28358-3197
Phone
(910) 671-4067
Fax
(910) 671-0383
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Mrs. Carolyn Floyd Robinson, MSW, LCAS, P-LCSW
Title
Ceo
Phone
(910) 671-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHL-078-130 NC Primary

Addresses

Primary practice location

2003 Godwin Ave Ste C
Lumberton, NC 28358-3197

Mailing address

2003 Goodwin Ave Suite C
Lumberton, NC 28358-3197
Phone (910) 671-4067

Other identifiers 1

IdentifierTypeStateIssuer
8300185MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
New Life Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2003 Godwin Ave
Ste C
Lumberton, NC 28358
Phone (910) 671-4067

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1205076973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GOODWIN AVE SUITE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583197",
            "telephone_number": "910-671-4067",
            "fax_number": "910-671-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583197",
            "telephone_number": "910-671-4067",
            "fax_number": "910-671-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-671-4067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCAS, P-LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-078-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.