Provider Demographics
NPI:1093301848
Name:NEW WAY GROUP HOME
Entity Type:Organization
Organization Name:NEW WAY GROUP HOME
Other - Org Name:NEW WAY GROUP HOME
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:HEAD OF SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-201-7976
Mailing Address - Street 1:2600 RAFT LN
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1769
Mailing Address - Country:US
Mailing Address - Phone:786-449-5610
Mailing Address - Fax:805-201-7130
Practice Address - Street 1:2600 RAFT LN
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-1769
Practice Address - Country:US
Practice Address - Phone:786-449-5610
Practice Address - Fax:805-201-7130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No253J00000XAgenciesFoster Care Agency
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility