MEDICARE: A NEW LIFE RESTORATIVE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	385H00000X	Respite Care
4	320700000X	Physical Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1558225607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW LIFE RESTORATIVE LLC

Provider Business Mailing Address
First Line	:	3829 CHEVY CHASE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1516
Country	:	US
Telephone Number	:	502-489-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3829 CHEVY CHASE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1516
Country	:	US
Telephone Number	:	502-489-7505
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MAROOF A AJANI
Credential	:
Telephone Number	:	502-489-7505

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “A NEW LIFE RESTORATIVE LLC ” Practice Location

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