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NPI Code Detail

MEDICARE: NEW HOPE COMMUNITY, INC.

MEDICARE: NEW HOPE COMMUNITY, 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
1315P00000XIntellectual Disabilities Intermediate Care Facility0452454NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215142468
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HOPE COMMUNITY, INC.
Provider Business Mailing Address
First Line : PO BOX 289
Second Line : ROUTE 52
City : LOCH SHELDRAKE
State : NY
Zip : 12759-0289
Country : US
Telephone Number : 845-434-8300
Fax Number : 845-436-7311
Provider Business Practice Location Address
First Line : 409 LARRY'S WAY
Second Line : ROUTE 52
City : LOCH SHELDRAKE
State : NY
Zip : 12759-0289
Country : US
Telephone Number : 845-434-8300
Fax Number : 845-436-7311
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. A. JAMES FORBES JR.
Credential :
Telephone Number : 845-434-8300
Provider Enumeration Date : 05/11/2007
Last Update Date : 08/04/2015

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1073728267 — NEW HOPE COMMUNITY, INC.
Practice Location Address:
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Practice Fax: 845-436-7311

Directions to “NEW HOPE COMMUNITY, INC. ” Practice Location

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