NEW LIFE OF COMMUNITY HEALTH SERVICES INC. NPI 1386653814

NPI Information

NPI: 1386653814
Provider Name: NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6722 BUSTLETON AVE
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 708-2100
Get Directions

NEW LIFE OF COMMUNITY HEALTH SERVICES, INC. is a mental health (including community mental health center) clinic center in Philadelphia, PA. NEW LIFE OF COMMUNITY HEALTH SERVICES, INC. NPI is 1386653814. The provider is registered as an organization entity type.

The provider's business location address is:

6722 BUSTLETON AVE
PHILADELPHIA, PA
ZIP 19149-301
Phone: (215) 708-2100
Fax: (215) 708-1650

The provider's authorized official is Gary Gaft .
The authorized official title is Vice President/administrator and has the following contact phone number (215) 708-2100.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	100250	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0016619250001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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