Provider Demographics
NPI:1205172814
Name:NEW LIVING, LLC
Entity type:Organization
Organization Name:NEW LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LENDER
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-528-6346
Mailing Address - Street 1:2380 WYCLIFF ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1279
Mailing Address - Country:US
Mailing Address - Phone:651-528-6346
Mailing Address - Fax:651-528-7056
Practice Address - Street 1:2380 WYCLIFF ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1279
Practice Address - Country:US
Practice Address - Phone:651-528-6346
Practice Address - Fax:651-528-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-31
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN357258251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health