Provider Demographics
NPI:1326612177
Name:NEW LIFE PERSONAL CARE LLC
Entity Type:Organization
Organization Name:NEW LIFE PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEVELLE
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-238-2356
Mailing Address - Street 1:PO BOX 80002
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70898-0002
Mailing Address - Country:US
Mailing Address - Phone:225-238-2356
Mailing Address - Fax:225-238-2366
Practice Address - Street 1:23980 FLENIKEN LN
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3068
Practice Address - Country:US
Practice Address - Phone:225-238-2356
Practice Address - Fax:225-238-2366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care