OrganizationActive
New Life Residential, Inc
NPI 1013201599 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Four Oaks, NC
Provider details
- NPI number
- 1013201599
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Holly Grey, Residential Director(919) 710-0581
- License
- MHL-051-193 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense MHL-051-193 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
119 Hilltop Dr
Four Oaks, NC 27524-9686
Phone: (919) 628-3339
Fax: (919) 209-9703
Street-level locationGet directions
Mailing address
119 Hilltop Dr
Four Oaks, NC 27524-9686
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2011-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.