MEDICARE: NEW LIFE HARVEST CHURCH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1417804857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LIFE HARVEST CHURCH INC

Provider Business Mailing Address
First Line	:	5941 SAINT MORITZ DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-4533
Country	:	US
Telephone Number	:	804-665-7674
Fax Number	:	888-239-4959

Provider Business Practice Location Address
First Line	:	5717 MIDLOTHIAN TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-6115
Country	:	US
Telephone Number	:	804-230-5950
Fax Number	:	888-239-4959

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. MARIA DELCARMEN BENJAMIN
Credential	:	PASTOR
Telephone Number	:	804-665-7674

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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