NPIMap

Organization Active NPI

New Life Community Service, LLC

  • Preferred Provider Organization
  • Washington, DC
National Provider Identifier
1801060900
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ALR-0025 Issued in DC
Legal business name
NEW LIFE COMMUNITY SERVICE, LLC
Practice address
1403 Hamllin Street, N.E.
Washington, DC 20017
Phone
(202) 269-1140
Fax
(202) 269-4503
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Ms. Renee BelfonNPI 1902176944
Title
Resident Director
Phone
(202) 269-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X ALR-0025 DC Primary

Addresses

Primary practice location

1403 Hamllin Street, N.E.
Washington, DC 20017

Mailing address

P.O. Box 5592
Hyattsville, MD 20782
Phone (202) 390-2106

Other names 1

  • New Life Community Service Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1801060900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5592",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20782",
            "telephone_number": "202-390-2106",
            "fax_number": "202-832-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HAMLLIN STREET, N.E.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-269-1140",
            "fax_number": "202-269-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COMMUNITY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "BELFON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "RESIDENT DIRECTOR",
        "authorized_official_telephone_number": "202-269-1140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "DC",
            "license": "ALR-0025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Community Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.