Healthcare Provider Details

I. General information

NPI: 1437244969
Provider Name (Legal Business Name): NEW HOPE MANOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1623 W NEW HOPE DR
CEDAR PARK TX
78613-6018
US

IV. Provider business mailing address

1623 W NEW HOPE DR
CEDAR PARK TX
78613-6018
US

V. Phone/Fax

Practice location:
  • Phone: 512-259-3999
  • Fax: 512-259-1179
Mailing address:
  • Phone: 512-259-3999
  • Fax: 512-259-1179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116238
License Number StateTX

VIII. Authorized Official

Name: MR. MONTE H. READ
Title or Position: OPERATING OFFICER
Credential:
Phone: 254-773-9533