NEW LIFE COMMUNITY SERVICE, LLC


Address: 1403 Hamllin Street, N.e., Washington, DC 20017
Phone: 2022691140

NEW LIFE COMMUNITY SERVICE, LLC (NPI# 1801060900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801060900
Entity Type Organization
Organization Name NEW LIFE COMMUNITY SERVICE, LLC
Other Organization Name NEW LIFE COMMUNITY SERVICE
Practice Address 1403 Hamllin Street, N.e.
Washington
DC 20017
Mailing Address P.o. Box 5592
Hyattsville
MD 20782
Practice Telephone 2022691140
Practice Fax Number 2022694503
Mailing Telephone 2023902106
Mailing Fax Number 2028320209
Enumeration Date 2008-04-18
Last Update Date 2010-08-13
Authorized Official Name MS. RENEE BELFON (RESIDENT DIRECTOR)
Authorized Official Telephone 2022691140
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization ALR-0025 DC Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
New Life Community Service Former Legal Business Name - Organization

Office Location

Street Address 1403 HAMLLIN STREET, N.E.
City WASHINGTON
State DC
Zip Code 20017

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1528551413 Harpreet Saluja Student in an Organized Health Care Education/Training Program 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 2018-06-14
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1386174175 Genevieve Wells Home Health Aide 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 2017-06-14
1487183810 Valerie Anne Pierre Student in an Organized Health Care Education/Training Program 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 2017-06-08
1639600984 Liliana Tatum Counselor 1428 Hamlin Street Ne, Washington, DC 20017 2017-03-27
1750835435 Marie Hortense Mabou Sando Home Health Aide 1416 9th Street Nwdc, Washington, DC 20017 2016-08-10
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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1841491628 Eye Core LLC Preferred Provider Organization 1516 U Street, Nw #ll, Washington, DC 20009-8004 2007-05-30
1336225051 Virginia M Thompson Preferred Provider Organization 2440 M St Nw Ste 420, Washington, DC 20037-1449 2006-10-27
1710088182 Cesar Rudzki Preferred Provider Organization 1145 19th St Nw Ste 407, Washington, DC 20036-3716 2006-09-26
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1659644094 Paradigm Chiropractic and Performance LLC Preferred Provider Organization 650 Pennsylvania Ave Se, Ste. 470, Washington, DC 20003-4318 2012-02-15
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Competitor

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City WASHINGTON
Zip Code 20017

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Dataset Information

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.

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