Provider Demographics
NPI:1235641697
Name:NEW LIVING HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:NEW LIVING HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:WARICOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-552-4870
Mailing Address - Street 1:22 GRANTCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3478
Mailing Address - Country:US
Mailing Address - Phone:240-552-4870
Mailing Address - Fax:
Practice Address - Street 1:7600 GEORGIA AVE NW STE 403
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:240-552-4870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health