NPIMap

Organization Active NPI

New Life Services, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1366777286
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-078-179 Issued in NC
Legal business name
NEW LIFE SERVICES, INC
Practice address
2003 Godwin Ave Ste C
Lumberton, NC 28358
Phone
(910) 671-4067
Fax
(910) 671-0383
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Ms. Anissa Yvette Johnson
Title
Billing Clerk
Phone
(910) 671-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-078-179 NC Primary

Addresses

Primary practice location

2003 Godwin Ave Ste C
Lumberton, NC 28358

Mailing address

2003 Godwin Ave
C
Lumberton, NC 28358-3197
Phone (910) 671-4067

Other identifiers 2

IdentifierTypeStateIssuer
1700962776MedicaidNC
1801924246MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
New Life Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1366777286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE",
            "address_2": "C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583197",
            "telephone_number": "910-671-4067",
            "fax_number": "910-671-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-671-4067",
            "fax_number": "910-671-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "910-671-4067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-078-179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700962776",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801924246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.