New Life Spirit, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

300671AP Issued in CA

Legal business name

NEW LIFE SPIRIT, INC.

Practice address

727 Owen Dr # Abc
Huntington Beach, CA 92648-2588

Phone

(949) 721-1511

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Garner, CATC, CDAC

Title

President

Phone

(949) 721-1511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1720594716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 GRANVILLE DR # CA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606205",
            "telephone_number": "949-721-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 OWEN DR # ABC",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482588",
            "telephone_number": "949-721-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SPIRIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-721-1511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CATC, CDAC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": "300671AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bridgette Newman

• Substance Use Disorder Rehabilitation Hospital Unit in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.