Provider Demographics
NPI:1508125568
Name:NEW LIFE HEALTH & HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:NEW LIFE HEALTH & HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARBEDEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-432-2385
Mailing Address - Street 1:5901 BROOKLYN BLVD STE 212B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2533
Mailing Address - Country:US
Mailing Address - Phone:763-432-2385
Mailing Address - Fax:763-432-3403
Practice Address - Street 1:5901 BROOKLYN BLVD STE 212B
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2533
Practice Address - Country:US
Practice Address - Phone:763-432-2385
Practice Address - Fax:763-432-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27187251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health