Provider Demographics
NPI:1336742279
Name:NEW BEGINNINGS IN PHOENIX, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS IN PHOENIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSSANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARRETTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-336-0262
Mailing Address - Street 1:16948 W MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-7428
Mailing Address - Country:US
Mailing Address - Phone:623-336-0262
Mailing Address - Fax:623-594-8895
Practice Address - Street 1:16948 W MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-7428
Practice Address - Country:US
Practice Address - Phone:623-336-0262
Practice Address - Fax:623-594-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home