New Life Health and Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEW LIFE HEALTH AND MEDICAL

Practice address

701 Main St.
Suite 150
Columbia, SC 29201

Phone

(803) 546-9553

NPI assigned

Apr 15, 2014

Organization subpart

Yes

Parent organization

NEW LIFE HEALTH AND MEDICALAs reported in NPPES

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

Authorized official

Name

Mr. Carlton Boyd, MHA, PHD

Title

Ceo

Phone

(803) 546-9553

Specialties & licenses 5

Addresses

Other names 1

• New Life Medical Other name

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1982023115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GERVAIS ST",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013066",
            "telephone_number": "803-546-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MAIN ST.",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-546-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH AND MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIFE HEALTH AND MEDICAL",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-546-9553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.