Provider Demographics
NPI:1730844846
Name:NEW LIFE HOMEHEALTH LLC
Entity type:Organization
Organization Name:NEW LIFE HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-272-3600
Mailing Address - Street 1:808 MARKET ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08102-1159
Mailing Address - Country:US
Mailing Address - Phone:856-272-3600
Mailing Address - Fax:888-735-6770
Practice Address - Street 1:808 MARKET ST FL 2
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-1159
Practice Address - Country:US
Practice Address - Phone:856-272-3600
Practice Address - Fax:888-735-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health