Healthcare Provider Details
I. General information
NPI: 1285867341
Provider Name (Legal Business Name): NEW HOPE C O R P S INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2009
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1020 N KROME AVE
HOMESTEAD FL
33030-4411
US
IV. Provider business mailing address
1020 N KROME AVE
HOMESTEAD FL
33030-4411
US
V. Phone/Fax
- Phone: 786-243-1003
- Fax: 786-243-0503
- Phone: 786-243-1003
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 1300 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | 1300 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
ARTHUR
ELLISON
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 786-243-1003