Organization Active NPI

TS New Life LLC

  • Developmentally Disabled Services Day Training Agency
  • Council Bluffs, IA
National Provider Identifier
1932933603
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TS NEW LIFE LLC
Practice address
25 S 15TH St
Council Bluffs, IA 51501-3900
Phone
(402) 871-2952
NPI assigned
Aug 27, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Latois Nicole Mayfield, BSNPI 1912755802
Title
Ceo
Phone
(402) 871-2952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

25 S 15TH St
Council Bluffs, IA 51501-3900

Mailing address

323 North Ave
Council Bluffs, IA 51503-1676
Phone (402) 871-2952

Other names 1

  • TS New Life LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1932933603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NORTH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031676",
            "telephone_number": "402-871-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S 15TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013900",
            "telephone_number": "402-871-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TS NEW LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "LATOIS",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-871-2952",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TS New Life LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.