MICHELLE NEW NPI 1831602192

NPI Information

NPI: 1831602192
Provider Name: MICHELLE NEW
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
6374 ELK CREEK RD
MIDDLETOWN, OH
ZIP 45042
Phone: (513) 504-6979
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Michelle New is a community based residential treatment facility, intellectual and/or developmental disabilities in Middletown, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Michelle New NPI is 1831602192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6374 ELK CREEK RD
MIDDLETOWN, OH
ZIP 45042-921
Phone: (513) 504-6979

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		0245289	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0245289	MEDICAID	OHIO
2	8304801	OTHER	OHIO	DODD CONTRACT #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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