Healthcare Provider Details

I. General information

NPI: 1124966130
Provider Name (Legal Business Name): NEW LIFE HARVEST CHURCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5717 MIDLOTHIAN TPKE
RICHMOND VA
23225-6115
US

IV. Provider business mailing address

5717 MIDLOTHIAN TPKE
RICHMOND VA
23225-6115
US

V. Phone/Fax

Practice location:
  • Phone: 804-230-5950
  • Fax: 888-239-4959
Mailing address:
  • Phone: 804-230-5950
  • Fax: 888-239-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MARIA DELCARMEN BENJAMIN
Title or Position: PASTOR
Credential:
Phone: 804-665-7674