NPIMap

Organization Active NPI

Elizabeth's New Life Center

  • Voluntary or Charitable Agency
  • Dayton, OH
National Provider Identifier
1477769446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
ELIZABETH'S NEW LIFE CENTER
Practice address
359 Forest Ave
Suite 203
Dayton, OH 45405-4563
Phone
(937) 226-7414
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ann T Moell, M.D.NPI 1457378978
Title
Medical Director
Phone
(937) 226-7414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X OH Primary

Addresses

Primary practice location

359 Forest Ave
Suite 203
Dayton, OH 45405-4563

Mailing address

359 Forest Ave
Suite 203
Dayton, OH 45405-4563
Phone (937) 226-7414

National Provider Directory

National Provider Directory

Locations

359 Forest Ave
Ste 203
Dayton, OH 45405
Phone (937) 226-7414

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477769446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 FOREST AVE",
            "address_2": "SUITE 203",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054563",
            "telephone_number": "937-226-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 FOREST AVE",
            "address_2": "SUITE 203",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054563",
            "telephone_number": "937-226-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH'S NEW LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOELL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-226-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.