MEDICARE: NEW HOPE FOR LIVING, 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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1295977460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE FOR LIVING, INC.

Provider Business Mailing Address
First Line	:	10000 N 31ST AVE STE C210
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9620
Country	:	US
Telephone Number	:	602-944-1790
Fax Number	:

Provider Business Practice Location Address
First Line	:	2209 S 65TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-8511
Country	:	US
Telephone Number	:	602-944-1790
Fax Number	:	602-943-1055

Authorized Official
Title or Position	:	DIRECTOR/CEO
Name	:	DR. ANNA SIYAVORA
Credential	:	PHD
Telephone Number	:	602-435-9818

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	03/08/2024

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