Healthcare Provider Details

I. General information

NPI: 1700957040
Provider Name (Legal Business Name): NEW HOPE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 MANHATTAN ST
CHILTON WI
53014-1565
US

IV. Provider business mailing address

PO BOX 189 443 MANHATTAN STREET
CHILTON WI
53014-0189
US

V. Phone/Fax

Practice location:
  • Phone: 920-849-9351
  • Fax: 920-849-7792
Mailing address:
  • Phone: 920-849-9351
  • Fax: 920-849-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARTHA HELEN LEPPANEN
Title or Position: REHABILITATION DIRECTOR
Credential:
Phone: 920-849-9351