Healthcare Provider Details

I. General information

NPI: 1629315007
Provider Name (Legal Business Name): NEW HOPE HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2013
Last Update Date: 01/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE SUITE 415
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

550 CENTER PL
TEANECK NJ
07666-1626
US

V. Phone/Fax

Practice location:
  • Phone: 201-836-0450
  • Fax:
Mailing address:
  • Phone: 201-836-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0400527306
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TRUDY-ANN BLAKE
Title or Position: CEO
Credential: LPN
Phone: 201-836-0450