=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508700345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW HOPE COMMUNITY SERVICE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2026
-----------------------------------------------------
Last Update Date | 04/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9050 W 81ST ST STE 400
-----------------------------------------------------
City | JUSTICE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60458-9800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-737-9555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9050 W 81ST ST STE 400
-----------------------------------------------------
City | JUSTICE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60458-9800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-737-9555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF CODING AND COMPLIANCE
-----------------------------------------------------
Name | WANDA DENISE SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 331-643-5238
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------