New Life Direct Care Staffing, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

NEW LIFE DIRECT CARE STAFFING, INC.

Practice address

20007 McCormick St
Detroit, MI 48224-1147

Phone

(313) 224-1863

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Miss Cecelia McDonald

Title

Ceo

Phone

(313) 224-1863

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1902348030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20007 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241147",
            "telephone_number": "313-224-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20007 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241147",
            "telephone_number": "313-224-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE DIRECT CARE STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-224-1863",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Detroit, MI
• Providers in Detroit, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.