NEW LIFE COMMUNITY GROUP HOME, INC.
NPI 1194814038
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Winston-salem, NC

Active since October 11, 2006
2885 MARSHALLBERG STREET, WINSTON-SALEM, NC 27105(336) 595-4501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New Life Community Group Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW LIFE COMMUNITY GROUP HOME, INC. (NPI 1194814038) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Winston-salem, North Carolina and active in the NPI registry since October 2006. The organization lists Beatrice D Hardee, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194814038
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNEW LIFE COMMUNITY GROUP HOME, INC.
Location Address2885 MARSHALLBERG STREETWinston-salem, NC 27105
Mailing Address2885 Marshallberg StreetWinston-salem, NC 27105
Organization SubpartNo
Authorized OfficialBeatrice D HardeeAdministrator · (336) 595-4501
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1194814038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NC · MHL-034-202
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2885 MARSHALLBERG STREET, Winston-salem, NC 27105

Other Identifiers 1

Medicaid3408142NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Life Community Group Home, Inc.'s NPI number?

The NPI number for New Life Community Group Home, Inc. is 1194814038. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is New Life Community Group Home, Inc. located?

New Life Community Group Home, Inc. is located at 2885 Marshallberg Street, Winston-Salem, NC 27105. The listed phone number is (336) 595-4501.

What is New Life Community Group Home, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for New Life Community Group Home, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.