New Life Recovery Center LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)

Address: 302 Park Ave Ste 1, Baltimore, MD 21201-3618
Phone: 4108780032

New Life Recovery Center LLC (NPI# 1093336422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093336422
Entity Type Organization
Organization Name NEW LIFE RECOVERY CENTER LLC
Practice Address 302 Park Ave Ste 1
Baltimore
MD 21201-3618
Practice Telephone 4108780032
Mailing Address 302 Park Ave
Baltimore
MD 21201-3618
Mailing Telephone 4108780032
Authorized Official Name Mr. Vennieth L. Mccormick (DIRECTOR)
Authorized Official Telephone 4109083106
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QR0405X Clinic/Center · Rehabilitation, Substance Use Disorder Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Office Location

Street Address 302 PARK AVE STE 1
City BALTIMORE
State MD
Zip Code 21201-3618

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
1952886137 Edith N Emelogu Nurse Practitioner 405 N. Paca Street First Floor, Baltimore, MD 21201 2018-10-03
1013499474 Quadrant Systems LLC Pharmacy 622 A North Eutaw St, Baltimore, MD 21201 2018-09-02
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Competitor

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City BALTIMORE
Zip Code 21201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.