Provider Demographics
NPI:1649392721
Name:NEW LIFE SERVICES, INC
Entity Type:Organization
Organization Name:NEW LIFE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHMIDT-CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-661-8795
Mailing Address - Street 1:7246 WESTBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2813
Mailing Address - Country:US
Mailing Address - Phone:248-661-8795
Mailing Address - Fax:248-788-0264
Practice Address - Street 1:7246 WESTBURY BLVD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2813
Practice Address - Country:US
Practice Address - Phone:248-661-8795
Practice Address - Fax:248-788-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
311ZA0620X
MI320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities