Healthcare Provider Details

I. General information

NPI: 1861306334
Provider Name (Legal Business Name): NEW BEGINNINGS LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2368 WHALEN ST
HAMTRAMCK MI
48212-4056
US

IV. Provider business mailing address

2368 WHALEN ST
HAMTRAMCK MI
48212-4056
US

V. Phone/Fax

Practice location:
  • Phone: 678-851-0134
  • Fax:
Mailing address:
  • Phone: 678-851-0134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MARIO RAMONE LINGARD
Title or Position: CO-FOUNDER
Credential:
Phone: 678-851-0134