OrganizationActive
New Life Community Service, LLC
NPI 1801060900 · Preferred Provider Organization · Washington, DC
Provider details
- NPI number
- 1801060900
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Renee Belfon, Resident Director(202) 269-1140
- License
- ALR-0025 (DC)
Specialties & taxonomies
Managed Care Organizations
Practice location
1403 Hamllin Street, N.e.
Washington, DC 20017
Phone: (202) 269-1140
Fax: (202) 269-4503
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 5592
Hyattsville, MD 20782
Other names (DBA / former)
- Former legal business name
- New Life Community Service
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2010-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.