Healthcare Provider Details

I. General information

NPI: 1235641697
Provider Name (Legal Business Name): NEW LIVING HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 EASTERN AVE NE
WASHINGTON DC
20019-2833
US

IV. Provider business mailing address

22 GRANTCHESTER PL
GAITHERSBURG MD
20877-3478
US

V. Phone/Fax

Practice location:
  • Phone: 202-248-1356
  • Fax: 202-978-5970
Mailing address:
  • Phone: 240-552-4870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PIUS ERNEST WARICOY
Title or Position: OWNER
Credential:
Phone: 202-248-1356