Provider Demographics
NPI:1720887391
Name:NEW LIFE HOME HEALTH CARE GROUP,CORP
Entity type:Organization
Organization Name:NEW LIFE HOME HEALTH CARE GROUP,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-486-0029
Mailing Address - Street 1:99 NW 183RD ST STE 133I
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4531
Mailing Address - Country:US
Mailing Address - Phone:305-952-4832
Mailing Address - Fax:305-974-5158
Practice Address - Street 1:99 NW 183RD ST STE 133I
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-4531
Practice Address - Country:US
Practice Address - Phone:305-952-4832
Practice Address - Fax:305-974-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty