New Vantage LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW VANTAGE LLC

Practice address

21379 Tulane Ave Apt 201
Farmington Hills, MI 48336-5670

Phone

(313) 829-3034

NPI assigned

Dec 8, 2013

Last updated

Dec 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sireece BassNPI 1013348648

Title

Member

Phone

(313) 829-3034

Specialties & licenses 1

Addresses

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.

• Sireece Bass

  • Behavior Analyst
  • Farmington Hills, MI
  • NPI 1013348648
  NPD (past) Authorized official

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386460800000",
    "number": "1386075919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21379 TULANE AVE APT 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365670",
            "telephone_number": "313-829-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21379 TULANE AVE APT 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365670",
            "telephone_number": "313-829-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2013-12-08",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "SIREECE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-829-3034"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Nevarez
• Candace Neville
• Sierra Nevins
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• New Life Counseling, Inc
• Rebecca Newbold
• India Newborn
• Lynnette Newborn
• Cordia Newby
• Nathanael Newcomb

• Community/Behavioral Health Agency in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.