Organization Active NPI

New Dawn Group Home Inc.

  • Adult Care Home Facility
  • Loxahatchee, FL
National Provider Identifier
1811174543
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
NEW DAWN GROUP HOME INC.
Practice address
16430 E Glasgow Dr
Loxahatchee, FL 33470-4017
Phone
(561) 964-8982
Fax
(561) 964-8938
NPI assigned
Jan 24, 2008
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Ms. Donna M Boyerbennett, CNA
Title
President
Phone
(561) 964-8982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

16430 E Glasgow Dr
Loxahatchee, FL 33470-4017

Mailing address

16430 E Glasgow Dr
Loxahatchee, FL 33470-4017
Phone (561) 964-8982

Other identifiers 1

IdentifierTypeStateIssuer
000257000MedicaidFL

National Provider Directory

National Provider Directory

Locations

16430 E Glasgow Dr
Loxahatchee, FL 33470
Phone (561) 964-8982

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1811174543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 E GLASGOW DR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704017",
            "telephone_number": "561-964-8982",
            "fax_number": "561-964-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 E GLASGOW DR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704017",
            "telephone_number": "561-964-8982",
            "fax_number": "561-964-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BOYERBENNETT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-8982",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000257000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.