NPIMap

Organization Active NPI

New Life Center for Change

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phenix City, AL
National Provider Identifier
1992995054
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
031801 Issued in AL
Legal business name
NEW LIFE CENTER FOR CHANGE
Practice address
707 Dillingham St
Phenix City, AL 36867-6309
Phone
(334) 298-0000
Fax
(334) 298-0519
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Alfonza Smith
Title
Executive Director
Phone
(334) 298-0782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 031801 AL
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 031801 AL Primary

Addresses

Primary practice location

707 Dillingham St
Phenix City, AL 36867-6309

Mailing address

707 Dillingham St
Phenix City, AL 36867-6309
Phone (334) 298-0000

National Provider Directory

National Provider Directory

Locations

707 Dillingham St
Phenix City, AL 36867
Phone (334) 298-0000

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1992995054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 DILLINGHAM ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676309",
            "telephone_number": "334-298-0000",
            "fax_number": "334-298-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 DILLINGHAM ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676309",
            "telephone_number": "334-298-0000",
            "fax_number": "334-298-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CENTER FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALFONZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-298-0782"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": "031801",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "031801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.