Provider Demographics
NPI:1013141985
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
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-828-3577
Mailing Address - Street 1:1492 W 49 PLACE
Mailing Address - Street 2:SUITE 492
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 WEST 49 PLACE
Practice Address - Street 2:SUITE 492
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:2009-05-07
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9646Medicare UPIN