New Life Community Adult Daycare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW LIFE COMMUNITY ADULT DAYCARE INC.

Practice address

166 Park Ave W
166 Park Ave W. Suite 207
Mansfield, OH 44902-1637

Phone

(419) 522-3900

Fax

(419) 522-8300

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lenore Melton

Title

Statory Agent

Phone

(419) 522-3900

Specialties & licenses 1

Addresses

Other names 1

• Lenores 24 hr. Nursing School Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245303049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5183",
            "address_2": "166 PARK AVE W. SUITE 207",
            "city": "MANSFIELD,",
            "state": "OH",
            "postal_code": "44901",
            "telephone_number": "419-522-3900",
            "fax_number": "419-522-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PARK AVE W",
            "address_2": "166 PARK AVE W. SUITE 207",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021637",
            "telephone_number": "419-522-3900",
            "fax_number": "419-522-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COMMUNITY ADULT DAYCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "STATORY AGENT",
        "authorized_official_telephone_number": "419-522-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenores 24 hr. Nursing School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.