NEW LIFE TREATMENT CENTER, LLP (NPI# 1396282067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396282067 |
Entity Type | Organization |
Organization Name | NEW LIFE TREATMENT CENTER, LLP |
Practice Address |
88 Cedar St Kuttawa KY 42055 |
Mailing Address |
Po Box 427 88 Cedar Street Kuttawa KY 42055-0427 |
Practice Telephone | 2707096529 |
Mailing Telephone | 2707096529 |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |
Authorized Official Name | DR. HENRY DANIEL BABENCO (PARTNER) |
Authorized Official Telephone | 2705561630 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
37712 | KY | Allopathic & Osteopathic Physicians |
Street Address |
88 CEDAR ST |
City | KUTTAWA |
State | KY |
Zip Code | 42055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376078220 | Sherry A Thomas | Social Worker | 68 Cedar St, Kuttawa, KY 42055 | 2017-04-28 |
1184034951 | Kuttawa Clinic, Pllc | Nurse Practitioner | 91 Cedar Street, Kuttawa, KY 42055 | 2014-05-02 |
1316208069 | Wellness Place LLC | Psychologist | 68 Cedar St., Kuttawa, KY 42055 | 2012-05-30 |
1013039353 | Thomas G Mcconnell | Pharmacist | 86 Cedar, Kuttawa, KY 42055 | 2007-04-06 |
1679553325 | Lyon Drug Store Inc | Pharmacy | 86 Cedar St, Kuttawa, KY 42055-0159 | 2006-01-19 |
1295818292 | Daniel K Jones | Psychologist | 68 Cedar Street, Po Box 250, Kuttawa, KY 42055-0250 | 2006-10-23 |
1760983191 | Jenna Meeks | Counselor | Po Box 250, Kuttawa, KY 42055-0250 | 2018-02-21 |
1093012841 | Optimum Care | Pharmacist | 2367 State Route 93 N, Kuttawa, KY 42055-5880 | 2011-02-14 |
1548402720 | Christian Care Center of Kuttawa, LLC | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Drive, Kuttawa, KY 42055-6124 | 2009-04-02 |
1548246754 | Hilltop Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Dr, Kuttawa, KY 42055-6124 | 2005-12-20 |
Find all providers in zip 42055 |
Taxonomy Code | 207LA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Addiction Medicine |
An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063988228 | Center for Recovery and Wellness | Anesthesiology | 50 Lovell Ct Ste B, Mount Vernon, KY 40456-2964 | 2018-10-15 |
1689730657 | Gary L Higgason | Anesthesiology | 1113 Zoeller Ct, Lexington, KY 40511-2310 | 2006-12-27 |
1578566766 | Craig Clayton Cartia | Anesthesiology | 106 Belinda Blvd, Danville, KY 40422-3217 | 2005-05-23 |
1841670734 | Infinity Healthcare Systems LLC | Anesthesiology | 912 Dupont Rd, Louisville, KY 40207-4602 | 2015-06-04 |
1578853602 | Kristal Lee Ann Wilson | Anesthesiology | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2011-04-11 |
1063476216 | Michael Eugene Fletcher | Anesthesiology | 500 Thomas More Pkwy, Crestview Hills, KY 41017-3454 | 2006-04-14 |
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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.