Provider Demographics
NPI:1568885606
Name:NEW LIFE HOME CARE, LLC
Entity Type:Organization
Organization Name:NEW LIFE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-896-6509
Mailing Address - Street 1:1415 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3356
Mailing Address - Country:US
Mailing Address - Phone:614-896-6509
Mailing Address - Fax:614-896-6510
Practice Address - Street 1:1415 E DUBLIN GRANVILLE RD STE 207
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3311
Practice Address - Country:US
Practice Address - Phone:614-896-6509
Practice Address - Fax:614-896-6510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-25
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health