NEW LIFE COMMUNITY SERVICES, INC (NPI# 1043792740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043792740 |
| Entity Type | Organization |
| Organization Name | NEW LIFE COMMUNITY SERVICES, INC |
| Other Organization Name | GEMMA |
| Practice Address |
521 Capitola Rd Ext Santa Cruz CA 95062 |
| Mailing Address |
707 Fair Ave Santa Cruz CA 95060 |
| Practice Telephone | 8312262173 |
| Practice Fax Number | 8314540545 |
| Mailing Telephone | 8314271007 |
| Mailing Fax Number | 8314540545 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DR. ANNA PHILLIPS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8313169201 |
| Authorized Official Credential | PH.D., LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW LIFE COMMUNITY SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Gemma | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124282744 | New Life Community Services, Inc | Community/Behavioral Health | 707 Fair Ave, Santa Cruz, CA 95060-5828 | 2008-07-13 |
| Street Address |
521 CAPITOLA RD EXT |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| 1407263932 | Daniel Aguilera Jr. | Chiropractor | 513 Soquel Ave., Santa Cruz, CA 95062 | 2014-07-16 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952712259 | Gabriel Miller | Substance Abuse Rehabilitation Facility | 265 Water St, Santa Cruz, CA 95060-4009 | 2014-05-08 |
| 1194971473 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 516 Chestnut St., Santa Cruz, CA 95060-3669 | 2008-08-18 |
| 1538385562 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2007-04-18 |
| 1578620183 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062-4668 | 2007-01-02 |
| 1164511465 | Providence Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 831 Paget Ave, Santa Cruz, CA 95062-4112 | 2006-10-12 |
| 1396250056 | New Life Community Services, Inc. | Substance Abuse Rehabilitation Facility | 707 Fair Ave, Santa Cruz, CA 95060 | 2017-12-04 |
| 1023569498 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 716 Ocean St, Santa Cruz, CA 95060-4032 | 2016-10-20 |
| 1659629863 | Scccc | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2012-08-17 |
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| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
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| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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| 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.