Provider Demographics
NPI:1891944591
Name:NEW LIFE NURSING CARE, INC.
Entity Type:Organization
Organization Name:NEW LIFE NURSING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-828-3577
Mailing Address - Street 1:1490 W 49TH PL STE 492
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3196
Mailing Address - Country:US
Mailing Address - Phone:305-828-3577
Mailing Address - Fax:305-828-3578
Practice Address - Street 1:1490 W 49TH PL STE 492
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3196
Practice Address - Country:US
Practice Address - Phone:305-828-3577
Practice Address - Fax:305-828-3578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No291U00000XLaboratoriesClinical Medical Laboratory