Organization Active NPI

New Life Community Service,LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1245489400
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Sep 11, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.