Healthcare Provider Details

I. General information

NPI: 1982569125
Provider Name (Legal Business Name): NEW ROAD FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44231 DIVISION ST STE B
LANCASTER CA
93535-3524
US

IV. Provider business mailing address

44231 DIVISION ST STE B
LANCASTER CA
93535-3524
US

V. Phone/Fax

Practice location:
  • Phone: 661-941-4080
  • Fax:
Mailing address:
  • Phone: 661-941-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW WEBER
Title or Position: CHIEF ADMINISTRATION OFFICER
Credential:
Phone: 661-365-8427