Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

New Life Home LLC

Q: What is the NPI number for New Life Home LLC?

The NPI for New Life Home LLC is 1063279834, a Type 2 (organization) record in the CMS NPPES registry.

Assisted Living Facility in Apple Valley, MN · enumerated 2024 · authorized official Miressa Jibalo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063279834

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Registry record

Entity type Organization (Type 2)

Legal business name New Life Home LLC

Practice address 15300 Dundee Ct, Apple Valley, MN, 55124

Phone (612) 441-2030

Fax (612) 545-1758

Enumeration date Feb 28, 2024

Last updated in NPPES Apr 7, 2024

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities Secondary

3104A0630X Assisted Living Facility (Behavioral Disturbances) Nursing & Custodial Care Facilities Secondary

Authorized official

Name Miressa Jibalo

Title Owner

Phone (507) 329-5751

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for New Life Home LLC?

The NPI for New Life Home LLC is 1063279834, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for New Life Home LLC?

NPPES lists Miressa Jibalo (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-07.