Provider Demographics
NPI:1275369712
Name:NEW HOPE COMMUNITY LIFE SERVICES
Entity type:Organization
Organization Name:NEW HOPE COMMUNITY LIFE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIRA
Authorized Official - Middle Name:BRIDGET
Authorized Official - Last Name:BABAA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:515-771-6057
Mailing Address - Street 1:126 E 29TH CT
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-7704
Mailing Address - Country:US
Mailing Address - Phone:515-771-6057
Mailing Address - Fax:
Practice Address - Street 1:126 E 29TH CT
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-7704
Practice Address - Country:US
Practice Address - Phone:515-771-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness