Active NPI
New Life Recovery Center LLC
- Infusion Therapy Clinic/Center
- Wenatchee, WA
National Provider Identifier
1871162776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- NEW LIFE RECOVERY CENTER LLC
- Practice address
- 25 N Wenatchee Ave Ste 214
Wenatchee, WA 98801-2283 - Phone
- (509) 669-9582
- NPI assigned
- Jun 23, 2021
- 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
- Vincent Serrato
- Title
- Owner
- Phone
- (509) 668-0092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
25 N Wenatchee Ave Ste 214
Wenatchee, WA 98801-2283
Mailing address
25 N Wenatchee Ave Ste 214
Wenatchee, WA 98801-2283
Phone (253) 528-6091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604768996 | Other | WA | UBI |
National Provider Directory
National Provider DirectoryLocations
25 N Wenatchee Ave
Ste 214
Wenatchee, WA 98801
Phone (253) 528-6091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1871162776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WENATCHEE AVE STE 214",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012283",
"telephone_number": "253-528-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WENATCHEE AVE STE 214",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012283",
"telephone_number": "509-669-9582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "SERRATO",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-668-0092"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "604768996",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.