Organization Active NPI

New Life Foundations

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1770716235
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW LIFE FOUNDATIONS
Practice address
5021 Miller Dr
Durham, NC 27704-1877
Phone
(919) 672-0751
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Miss Leslie L Brewster, C.M./QP
Title
Administrator
Phone
(919) 672-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

5021 Miller Dr
Durham, NC 27704-1877

Mailing address

614 North Madision Blvd
Roxboro, NC 27573-4636
Phone (919) 672-0751

Other identifiers 1

IdentifierTypeStateIssuer
1639338395MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Health Enhancement Empowerment Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1770716235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NORTH MADISION BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734636",
            "telephone_number": "919-672-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 MILLER DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041877",
            "telephone_number": "919-672-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FOUNDATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-672-0751",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C.M./QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639338395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.