NPIMap

Organization Active NPI

Family New Life Rehabilitation Center, Inc.

Doing business as Family New Life

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1578626537
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10067 Issued in LA
Legal business name
FAMILY NEW LIFE REHABILITATION CENTER, INC.
Doing business as
Family New Life
Practice address
3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156
Phone
(318) 325-8050
Fax
(318) 325-5385
NPI assigned
Dec 19, 2006
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

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
Mrs. Adrian Williams, LCSWNPI 1063551125
Title
Program Director
Phone
(318) 325-8050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X 10067 LA Primary

Addresses

Primary practice location

3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156

Mailing address

3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156
Phone (318) 325-8050

Other identifiers 1

IdentifierTypeStateIssuer
1183601MedicaidLA

Other names 1

  • Family New Life Doing business as

National Provider Directory

National Provider Directory

Locations

1605 Stubbs Ave
Monroe, LA 71201
Phone (318) 387-4878

3100 Kilpatrick Blvd
Ste 100
Monroe, LA 71201
Phone (318) 325-8048

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1578626537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 100",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8050",
            "fax_number": "318-325-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 100",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8050",
            "fax_number": "318-325-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NEW LIFE REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-325-8050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "10067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family New Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

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.