Healthcare Provider Details

I. General information

NPI: 1811862469
Provider Name (Legal Business Name): NEW BEGINNINGS FOR LIFE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HARTFORD RD STE 44
SALEM CT
06420-3800
US

IV. Provider business mailing address

192 SHAILOR HILL RD
COLCHESTER CT
06415-2539
US

V. Phone/Fax

Practice location:
  • Phone: 860-368-8871
  • Fax:
Mailing address:
  • Phone: 860-531-9426
  • Fax: 860-531-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELLEN MARIE YOUNG
Title or Position: OWNER
Credential:
Phone: 860-531-9426