Active NPI
New Life Adult Care II, Inc
- Home Health Agency
- Brandon, FL
National Provider Identifier
1508096454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211307
- Legal business name
- NEW LIFE ADULT CARE II, INC
- Practice address
- 710 Oakfield Dr Ste 116
Brandon, FL 33511-4931 - Phone
- (813) 661-9453
- Fax
- (813) 661-0155
- NPI assigned
- Jul 24, 2009
- Organization subpart
- Yes
- Parent organization
- NEW LIFE ADULT CARE II, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosaline Seabrook
- Title
- Administrator
- Phone
- (813) 661-9453
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211307 | FL | Primary |
| Assisted Living Facility | 310400000X | AL11996 | FL |
Addresses
Primary practice location
710 Oakfield Dr Ste 116
Brandon, FL 33511-4931
Mailing address
710 Oakfield Dr Ste 116
Brandon, FL 33511-4931
Phone (813) 661-9453
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 685573301 | Medicaid | FL | |
| 684811701 | Medicaid | FL |
Other names 1
- New Life Agency
National Provider Directory
National Provider Directory- Part of
- New Life Adult Care II Inc
Locations
710 Oakfield Dr
Ste 116
Brandon, FL 33511
Phone (813) 661-9453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584576000000",
"number": "1508096454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 OAKFIELD DR STE 116",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114931",
"telephone_number": "813-661-9453",
"fax_number": "813-654-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 OAKFIELD DR STE 116",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114931",
"telephone_number": "813-661-9453",
"fax_number": "813-661-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE ADULT CARE II, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW LIFE ADULT CARE II, INC",
"enumeration_date": "2009-07-24",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A",
"authorized_official_last_name": "SEABROOK",
"authorized_official_first_name": "ROSALINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-661-9453",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211307",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11996",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "685573301",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "684811701",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Life Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Life Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.