Provider Demographics
| NPI: | 1841341930 |
|---|---|
| Name: | NEW BEGINNING ASSISTED LIVING, LLC |
| Entity type: | Organization |
| Organization Name: | NEW BEGINNING ASSISTED LIVING, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | VERNITA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WEBBER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 804-358-9300 |
| Mailing Address - Street 1: | PO BOX 27935 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RICHMOND |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 23261-7935 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 804-358-9300 |
| Mailing Address - Fax: | 804-354-9782 |
| Practice Address - Street 1: | 5208 LACONIA DR |
| Practice Address - Street 2: | |
| Practice Address - City: | RICHMOND |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 23223-5828 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 804-358-9300 |
| Practice Address - Fax: | 804-354-9782 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-01-15 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| VA | CRO-06-373 | 310400000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |