Provider Demographics
NPI:1093155277
Name:NEW BEGINNINGS LIVING
Entity Type:Organization
Organization Name:NEW BEGINNINGS LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / PROPRIETER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARTIN TRASK
Authorized Official - Suffix:
Authorized Official - Credentials:MT, CRMA, CNA, PSS
Authorized Official - Phone:207-943-2000
Mailing Address - Street 1:PO BX 55
Mailing Address - Street 2:90 PARK ST
Mailing Address - City:MILO
Mailing Address - State:ME
Mailing Address - Zip Code:04463
Mailing Address - Country:US
Mailing Address - Phone:207-943-2000
Mailing Address - Fax:207-943-2009
Practice Address - Street 1:90 PARK ST
Practice Address - Street 2:
Practice Address - City:MILO
Practice Address - State:ME
Practice Address - Zip Code:04463
Practice Address - Country:US
Practice Address - Phone:207-943-2000
Practice Address - Fax:207-943-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS5161261QA0600X, 311ZA0620X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty