Organization Active NPI

New Life Recovery Center LLC

  • Infusion Therapy Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1871162776
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
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

Updated by the provider on Apr 22, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
604768996OtherWAUBI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.