New Life Health Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NEW LIFE HEALTH CARE AGENCY LLC

Practice address

1 W Park Avenue
Merchantville, NJ 08109

Phone

(856) 843-5433

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Amir Khan

Title

Ceo

Phone

(856) 843-5433

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

New Life Health Care Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• New Life Health Care Agency LLC

  • Exclusive Provider Organization
  • Hamilton, NJ
  • NPI 1093185233
  NPD tax ID
• New Life Health Care Agency LLC

  • Health Maintenance Organization
  • Hamilton, NJ
  • NPI 1285177279
  NPD tax ID

Locations

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1780313429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CROOKED LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341129",
            "telephone_number": "856-535-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PARK AVENUE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-843-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-843-5433"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500763",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian W Mote, CPNP
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• Rachel C Murtin, OTR/L
• New Jersey Rehab Medicine Inc
• Dilesh Patel, RPH
• Jessica Perkins, RN
• Peter a. Curreri, D.O., L.L.C.
• Jennifer Lorraine Phillips, N.D.
• Pierre M Pierre Louis, D.O

• In Home Supportive Care Agency in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.