Healthcare Provider Details

I. General information

NPI: 1679816912
Provider Name (Legal Business Name): A NEW HOPE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N MAIN ST STE 200
POCATELLO ID
83204-3113
US

IV. Provider business mailing address

150 N MAIN ST STE 200
POCATELLO ID
83204-3113
US

V. Phone/Fax

Practice location:
  • Phone: 208-904-1950
  • Fax: 208-904-1953
Mailing address:
  • Phone: 208-705-6399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. C. JARED WHITE
Title or Position: CEO
Credential:
Phone: 208-705-6399