Active NPI
New Life Community Service,LLC
- Mental Illness Community Based Residential Treatment Facility
- Washington, DC
National Provider Identifier
1245489400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- NEW LIFE COMMUNITY SERVICE,LLC
- Practice address
- 6932 9TH St NW
Washington, DC 20012-2406 - Phone
- (202) 390-2106
- Fax
- (202) 269-4503
- NPI assigned
- Sep 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Renee Marqurita Belfon
- Title
- Director
- Phone
- (202) 390-2697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
6932 9TH St NW
Washington, DC 20012-2406
Mailing address
PO Box 5592
Hyattsville, MD 20782-0592
Phone (202) 390-2106
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1245489400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5592",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207820592",
"telephone_number": "202-390-2106",
"fax_number": "202-269-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6932 9TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122406",
"telephone_number": "202-390-2106",
"fax_number": "202-269-4503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE COMMUNITY SERVICE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "BELFON",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "MARQURITA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "202-390-2697",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.