New Life Children's Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

20128 Issued in AR

Legal business name

NEW LIFE CHILDREN'S HOME

Practice address

50 4TH St
Oil Trough, AR 72564

Phone

(870) 264-3757

Fax

(870) 264-9300

NPI assigned

Jul 9, 2009

Last updated

Jul 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Marie Whitaker, LMSW

Title

Administrator

Phone

(870) 217-9125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1912136144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120885",
            "telephone_number": "870-264-3757",
            "fax_number": "870-264-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 4TH ST",
            "city": "OIL TROUGH",
            "state": "AR",
            "postal_code": "72564",
            "telephone_number": "870-264-3757",
            "fax_number": "870-264-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-217-9125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AR",
            "license": "20128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Deanne Shaw, APRN-CNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Oil Trough, AR
• Providers in Oil Trough, AR by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.