MEDICARE: THE HOPE SCHOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407899628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOPE SCHOOL

Provider Business Mailing Address
First Line	:	15 EAST HAZEL DELL LANE
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62712-9541
Country	:	US
Telephone Number	:	217-585-5437
Fax Number	:	217-585-5242

Provider Business Practice Location Address
First Line	:	15 EAST HAZEL DELL LANE
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62712-9541
Country	:	US
Telephone Number	:	217-585-5437
Fax Number	:	217-585-5242

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. JOSEPH E. NYRE
Credential	:	PH.D.
Telephone Number	:	217-585-5437

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/21/2022

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Directions to “THE HOPE SCHOOL ” Practice Location

Language	Start Address	Practice Location

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