Provider Demographics
NPI:1790571693
Name:NEW START NEW LIFE INC
Entity type:Organization
Organization Name:NEW START NEW LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-818-6660
Mailing Address - Street 1:6204 CAMELLIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4119
Mailing Address - Country:US
Mailing Address - Phone:818-272-7979
Mailing Address - Fax:
Practice Address - Street 1:6204 CAMELLIA AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4119
Practice Address - Country:US
Practice Address - Phone:818-272-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health