Start a New Life Home Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AS820311725 Issued in MI

Legal business name

START A NEW LIFE HOME INC

Practice address

23439 Meadow Park
Redford, MI 48239-1146

Phone

(313) 999-2590

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Seymore

Title

Exe Director

Phone

(313) 592-9006

Specialties & licenses 2

Addresses

Other names 1

• SHREWSBURY FACILITY Other name

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1619250032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23439 MEADOW PARK",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391146",
            "telephone_number": "313-999-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23439 MEADOW PARK",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391146",
            "telephone_number": "313-999-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START A NEW LIFE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXE DIRECTOR",
        "authorized_official_telephone_number": "313-592-9006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS820311725",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS820311725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHREWSBURY FACILITY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Redford, MI
• Providers in Redford, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.