Provider Demographics
NPI: | 1841341930 |
---|---|
Name: | NEW BEGINNING ASSISTED LIVING, LLC |
Entity type: | Organization |
Organization Name: | NEW BEGINNING ASSISTED LIVING, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | VERNITA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WEBBER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 804-358-9300 |
Mailing Address - Street 1: | PO BOX 27935 |
Mailing Address - Street 2: | |
Mailing Address - City: | RICHMOND |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23261-7935 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-358-9300 |
Mailing Address - Fax: | 804-354-9782 |
Practice Address - Street 1: | 5208 LACONIA DR |
Practice Address - Street 2: | |
Practice Address - City: | RICHMOND |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23223-5828 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-358-9300 |
Practice Address - Fax: | 804-354-9782 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-15 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | CRO-06-373 | 310400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |