Anew Living LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ANEW LIVING LLC

Practice address

4040 Shady Hollow LN
Dallas, TX 75233-3601

Phone

(817) 938-2762

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

GILKES MGT LLCAs reported in NPPES

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

Authorized official

Name

Mr. Kevin Gilkes Sr.

Title

Ceo

Phone

(817) 938-2762

Specialties & licenses 1

Addresses

Other names 1

• Gilkes Mgt LLC Other name

Tax ID family

Anew Living LLC2 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.

• Anew Living LLC

  • Case Management Agency
  • Dallas, TX
  • NPI 1538842901
  NPD tax ID

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1346011301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N TRAIL DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061416",
            "telephone_number": "817-938-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SHADY HOLLOW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752333601",
            "telephone_number": "817-938-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GILKES MGT LLC",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "GILKES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-938-2762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilkes Mgt LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.