NEW LIFE COMMUNITY GROUP HOME, INC. – NPI #1194814038
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

NEW LIFE COMMUNITY GROUP HOME, INC. is a community based residential treatment facility located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1194814038 to NEW LIFE COMMUNITY GROUP HOME, INC. on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW LIFE COMMUNITY GROUP HOME, INC. below.

NPI Profile for
NEW LIFE COMMUNITY GROUP HOME, INC.

NPI Number
1194814038
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW LIFE COMMUNITY GROUP HOME, INC.
Primary location
2885 MARSHALLBERG STREET
WINSTON-SALEM, NC 27105
Phone: (336) 595-4501 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BEATRICE HARDEE
ADMINISTRATOR
Phone: (336) 595-4501
Updated
Identifiers

Identifiers for NEW LIFE COMMUNITY GROUP HOME, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC3408142
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
NC MHL-034-202

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.