Active NPI
New Life Assisted Living, Inc.
Doing business as New Life Assisted Living
- Assisted Living Facility
- Port St Lucie, FL
National Provider Identifier
1295038032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 8982
- Legal business name
- NEW LIFE ASSISTED LIVING, INC.
- Doing business as
- New Life Assisted Living
- Practice address
- 2133 Shelter Drive
Port St. Lucie, FL 34952 - Phone
- (772) 337-0058
- Fax
- (772) 398-4238
- NPI assigned
- Dec 17, 2010
- Last updated
- Dec 22, 2010
- 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
- Ethel Newton
- Title
- Owner
- Phone
- (772) 337-0058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 8982 | FL | Primary |
Addresses
Primary practice location
2133 Shelter Drive
Port St. Lucie, FL 34952
Mailing address
2133 Shelter Drive
Port St. Lucie, FL 34952
Phone (772) 337-0058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140680900 | Medicaid | FL |
Other names 1
- New Life Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- New Life Assisted Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Fort Pierce, FL
- NPI 1922433259
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Atlantis, FL
- NPI 1417005281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292976000000",
"number": "1295038032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 SHELTER DRIVE",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-337-0058",
"fax_number": "772-398-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 SHELTER DRIVE",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-337-0058",
"fax_number": "772-398-4238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE ASSISTED LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-22",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "ETHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-337-0058"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "8982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140680900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Life Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.