NEW LIFE LLC


Address: 130 Pebble Ln, Point Pleasant, WV 25550-4236
Phone: 3045931369

NEW LIFE LLC (NPI# 1841655388) 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) 1841655388
Entity Type Organization
Organization Name NEW LIFE LLC
Practice Address 130 Pebble Ln
Point Pleasant
WV 25550-4236
Mailing Address Po Box 470
Point Pleasant
WV 25550-0470
Practice Telephone 3045931369
Practice Fax Number 7247881243
Mailing Telephone 3045931369
Mailing Fax Number 7247881243
Enumeration Date 2015-12-29
Last Update Date 2015-12-29
Authorized Official Name JAMES TODD BOWEN (PRESIDENT)
Authorized Official Telephone 3045931369
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities New Life LLC 11030 Warwick Blvd, Building B, Newport News, Virginia 23601
Colorado Business Entities NEW LIFE LLC 5030 Boardwalk Drive, Suite 818, Colorado Springs, CO 80919
Oregon Corporations, Companies and Business Names NEW LIFE LLC 37395 Dubarko Rd, Sandy, OR 97055

Office Location

Street Address 130 PEBBLE LN
City POINT PLEASANT
State WV
Zip Code 25550-4236

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1386150902 Michael Holland Social Worker 3471 Ohio River Road, Point Pleasant, WV 25550 2017-12-19
1013183144 Mason County Emergency Ambulance Authority Ambulance 239 Jackson Avenue, Pt Pleasant, WV 25550 2008-05-08
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1851469480 James P Wagner Family Medicine 708 Viand Street, Point Pleasant, WV 25550 2006-12-01
1699843375 Home Care Medical Equipment Durable Medical Equipment & Medical Supplies Third and Viand Street, Point Pleasant, WV 25550 2006-12-01
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City POINT PLEASANT
Zip Code 25550

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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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