NEW LIFE OUTPATIENT CENTER (NPI# 1780966804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780966804 |
| Entity Type | Organization |
| Organization Name | NEW LIFE OUTPATIENT CENTER |
| Practice Address |
2322 E Kimberly Rd Ste. 200 North Davenport IA 52807-7205 |
| Practice Telephone | 5633550055 |
| Practice Fax Number | 5633550101 |
| Mailing Telephone | 5633550055 |
| Mailing Fax Number | 5633550101 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | MRS. CHERYL SHOVLAIN (ADMINISTRATOR) |
| Authorized Official Telephone | 5633550055 |
| Authorized Official Credential | MS ED., CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 00946 | IA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740651579 | New Life Outpatient Center | Community/Behavioral Health | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2015-10-20 |
| Street Address |
2322 E KIMBERLY RD STE. 200 NORTH |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931153 | Eugene L Kerns | Obstetrics & Gynecology | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2006-02-13 |
| 1043682875 | Maria Terese Menster | Counselor | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2015-10-20 |
| 1740651579 | New Life Outpatient Center | Community/Behavioral Health | 2322 E Kimberly Rd, Ste. 200 North, Davenport, IA 52807-7205 | 2015-10-20 |
| 1205251345 | Courtney Hill | Counselor | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2014-02-26 |
| 1750706909 | Cheryl Kay Shovlain | Counselor | 2322 E Kimberly Rd, Suite 200 North, Davenport, IA 52807-7205 | 2014-02-25 |
| 1851623367 | Allen L Diercks Dc PC | Chiropractor | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2010-02-08 |
| 1699913061 | Nicole Marie Luszczyk | Physician Assistant | 2322 E Kimberly Rd, Ste 100n, Davenport, IA 52807-7205 | 2009-01-23 |
| 1104085497 | Mary Beth Johnson | Nurse Practitioner | 2322 E Kimberly Rd, Davenport, IA 52807-7205 | 2008-06-03 |
| 1871768242 | Weiss Family Chiropractic | Chiropractor | 2322 E Kimberly Rd, Suite 120n, Davenport, IA 52807-7205 | 2008-04-28 |
| 1326176983 | Accredited Dermatology Associates, P.C. | Dermatology | 2322 E Kimberly Rd, Suite N100, Davenport, IA 52807-7205 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787304 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-08 |
| 1194201384 | Metamorphosis Mental Health Family Center, LLC | Community/Behavioral Health | 121 Webb Dr Ste 209, Davenport, FL 33837-3904 | 2018-07-11 |
| 1255601464 | Quad Cities Service Providers, LLC | Community/Behavioral Health | 5433 Tremont Ave, Davenport, IA 52807 | 2012-01-04 |
| 1184903247 | Leaders of Tomorrow, LLC | Community/Behavioral Health | 1720 N Harrison St, Davenport, IA 52803-4812 | 2011-08-08 |
| 1356635759 | Community Centered Counseling Services | Community/Behavioral Health | 1222 E 37th St, Davenport, IA 52807-1901 | 2011-06-02 |
| 1235330663 | Riverfront Counseling LLC | Community/Behavioral Health | 102 S Harrison St, Davenport, IA 52801-1811 | 2007-05-31 |
| 1306904776 | Family Resources, Inc | Community/Behavioral Health | 805 W 35th St Ste 200, Davenport, IA 52806-5807 | 2006-12-05 |
| 1275598054 | Family Resources Inc | Community/Behavioral Health | 2800 Eastern Ave, Davenport, IA 52803 | 2006-04-18 |
| 1568071686 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-24 |
| 1295279602 | Transitions Nfp | Community/Behavioral Health | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2016-12-05 |
| Find all providers in DAVENPORT | ||||
Please comment or provide details below to improve the information on NEW LIFE OUTPATIENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.