Provider Demographics
NPI:1093284903
Name:NEW DAY ASSISTED LIVING, LLC
Entity Type:Organization
Organization Name:NEW DAY ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROOVENS
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-707-0784
Mailing Address - Street 1:1931 SW MCALLISTER LN
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2064
Mailing Address - Country:US
Mailing Address - Phone:404-707-0784
Mailing Address - Fax:
Practice Address - Street 1:1931 SW MCALLISTER LN
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2064
Practice Address - Country:US
Practice Address - Phone:404-707-0784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty