Provider Demographics
NPI:1184073645
Name:NEW BEGININGS LLC
Entity type:Organization
Organization Name:NEW BEGININGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KHADIJAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAMIDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-570-6826
Mailing Address - Street 1:1921 HUMPHREY MERRY WAY
Mailing Address - Street 2:B
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1014
Mailing Address - Country:US
Mailing Address - Phone:215-570-6826
Mailing Address - Fax:215-277-7227
Practice Address - Street 1:2732 N 22ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2601
Practice Address - Country:US
Practice Address - Phone:215-570-6826
Practice Address - Fax:215-277-7227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children