NPIMap

Organization Active NPI

New Way Services Inc

Doing business as New Way ICF DDH #1

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, CA
National Provider Identifier
1851463111
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
14000688 Issued in CA
Legal business name
NEW WAY SERVICES INC
Doing business as
New Way ICF DDH #1
Practice address
2601 Truman CT
Antioch, CA 94509
Phone
(925) 775-4927
Fax
(925) 688-1525
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Mrs. Lupe M Henry
Title
Director/Provider
Phone
(925) 370-9603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 14000688 CA Primary

Addresses

Primary practice location

2601 Truman CT
Antioch, CA 94509

Mailing address

1170 Burnett Ave Ste K
Concord, CA 94520-5613
Phone (925) 370-9603

Other identifiers 1

IdentifierTypeStateIssuer
05G953OtherCAMEDICAL

Other names 1

  • New Way ICF DDH #1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G953

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEW WAY ICF/DD-H #1
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 22, 1996
Last certification
Sep 5, 2024
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Jul 3, 2008
Facility address
2601 Truman Court
Antioch, CA 94509

National Provider Directory

National Provider Directory
Tax ID family
New Way Icf DD H 211 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1851463111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BURNETT AVE STE K",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205613",
            "telephone_number": "925-370-9603",
            "fax_number": "925-688-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TRUMAN CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-775-4927",
            "fax_number": "925-688-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LUPE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "925-370-9603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "14000688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "05G953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Way ICF DDH #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Way ICF DDH #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.