Active NPI
New Life Foundations
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1770716235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639338395 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Enhancement Empowerment Resources
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Burlington, NC
- NPI 1639338395
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
- New Hope Urgent Care-PLLC (New Hope Urgent Care)
- New Horizon
- New Horizon Services, Inc.
- New Horizons Care Services, LLC
- New Interventions
- New Life Health and Wellness
- New Life Healthcare Services, Inc. (PEACEFUL HOUSE ii)
- New Life Healthcare Solutions
- New Opportunities Second Chance, Inc.
- New Orchard Wellness
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.