NPIMap

Organization Active NPI

New Life Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Jose, CA
National Provider Identifier
1437684172
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
430053AP Issued in CA
Legal business name
NEW LIFE RECOVERY CENTERS, INC.
Practice address
169 Clayton Avenue
San Jose, CA 95110
Phone
(408) 297-1182
NPI assigned
May 1, 2017
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW LIFE RECOVERY CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Ms. Jessica Autumn Smith
Title
Insurance Administrator
Phone
(408) 460-9984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 430053AP CA Primary

Addresses

Primary practice location

169 Clayton Avenue
San Jose, CA 95110

Mailing address

782 Park Ave, Suite 1
San Jose, CA 95126
Phone (408) 297-1182

National Provider Directory

National Provider Directory
Tax ID family
New Life Recovery Centers Inc3 organizations share this tax ID, including this one
Part of
New Life Recovery Centers Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1437684172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 PARK AVE, SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95126",
            "telephone_number": "408-297-1182",
            "fax_number": "408-297-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CLAYTON AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110",
            "telephone_number": "408-297-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE RECOVERY CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIFE RECOVERY CENTERS, INC.",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "AUTUMN",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "408-460-9984",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "430053AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.