Organization Active NPI

New Life Foundation Recovery Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1306509799
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW LIFE FOUNDATION RECOVERY INC
Practice address
11 Parkway Cir
New Castle, DE 19720-4077
Phone
(302) 252-7076
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Morgan N. Ikonne, LMSWNPI 1912554148
Title
Ex.Director
Phone
(302) 252-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11 Parkway Cir
New Castle, DE 19720-4077

Mailing address

1541 Church Rd
Bear, DE 19701-1826
Phone (302) 365-5638

National Provider Directory

National Provider Directory
Tax ID family
New Life Foundation Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1306509799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 CHURCH RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011826",
            "telephone_number": "302-365-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PARKWAY CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204077",
            "telephone_number": "302-252-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FOUNDATION RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "IKONNE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "EX.DIRECTOR",
        "authorized_official_telephone_number": "302-252-7076",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.