New Life Community Supports, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEW LIFE COMMUNITY SUPPORTS, INC.

Practice address

117 N Railroad Street
Ahoskie, NC 27910

Phone

(252) 332-2816

Fax

(252) 332-4189

NPI assigned

Mar 19, 2007

Organization subpart

No

Name

Mrs. Ava Moore-Daniels

Title

QP-Ceo

Phone

(252) 332-2816

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679697270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N RAILROAD STREET",
            "address_2": "PO BOX 148",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "27910",
            "telephone_number": "252-332-2816",
            "fax_number": "252-332-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N RAILROAD STREET",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "27910",
            "telephone_number": "252-332-2816",
            "fax_number": "252-332-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE-DANIELS",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "QP-CEO",
        "authorized_official_telephone_number": "252-332-2816",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ahoskie, NC
• Case Management Agency in North Carolina

• 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.