Active NPI
New Dawn Group Home Inc.
- Adult Care Home Facility
- Loxahatchee, FL
National Provider Identifier
1811174543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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, 2011
- 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
- Ms. Donna M Boyerbennett, CNA
- Title
- President
- Phone
- (561) 964-8982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000257000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.