Healthcare Provider Details

I. General information

NPI: 1477264281
Provider Name (Legal Business Name): NEW HOPE NC I, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 LORAY FARM RD
DALLAS NC
28034-7742
US

IV. Provider business mailing address

7515 NORTHSIDE DR STE 200
NORTH CHARLESTON SC
29420-4285
US

V. Phone/Fax

Practice location:
  • Phone: 843-572-3498
  • Fax: 843-851-1075
Mailing address:
  • Phone: 843-572-3498
  • Fax: 843-851-1075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HUGH ERIC BAUMGARTNER
Title or Position: CEO
Credential:
Phone: 843-572-3498