Provider Demographics
NPI:1275115677
Name:NEW LIFE GLOBAL LLC
Entity Type:Organization
Organization Name:NEW LIFE GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AREE
Authorized Official - Middle Name:P
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-200-0112
Mailing Address - Street 1:20907 123RD AVE
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:MN
Mailing Address - Zip Code:55374-4968
Mailing Address - Country:US
Mailing Address - Phone:612-200-0112
Mailing Address - Fax:763-515-4196
Practice Address - Street 1:1545 WINNETKA AVE N
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-3918
Practice Address - Country:US
Practice Address - Phone:612-200-0112
Practice Address - Fax:763-515-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility