MEDICARE: NEW HOPE PLACEMENT, LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1639555899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE PLACEMENT, LLC

Provider Business Mailing Address
First Line	:	1050 WIGWAM PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-8174
Country	:	US
Telephone Number	:	702-576-9545
Fax Number	:

Provider Business Practice Location Address
First Line	:	3312 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1829
Country	:	US
Telephone Number	:	702-410-7825
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	FRANCES MALINIS
Credential	:
Telephone Number	:	702-410-7825

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	12/20/2019

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Directions to “NEW HOPE PLACEMENT, LLC ” Practice Location

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