Provider Demographics
NPI: | 1194955997 |
---|---|
Name: | NEW HOPE HUMAN SERVICES |
Entity type: | Organization |
Organization Name: | NEW HOPE HUMAN SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NENA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | REEVES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 636-778-9505 |
Mailing Address - Street 1: | 15510 OLIVE BLVD |
Mailing Address - Street 2: | STE. 105 |
Mailing Address - City: | CHESTERFIELD |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63017-0710 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 636-778-9505 |
Mailing Address - Fax: | 636-778-9508 |
Practice Address - Street 1: | 15510 OLIVE BLVD |
Practice Address - Street 2: | STE. 105 |
Practice Address - City: | CHESTERFIELD |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63017-0710 |
Practice Address - Country: | US |
Practice Address - Phone: | 636-778-9505 |
Practice Address - Fax: | 636-778-9508 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-07-15 |
Last Update Date: | 2009-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |