Provider Demographics
NPI:1568950236
Name:NUHOPE SA RECOVERY LLC
Entity type:Organization
Organization Name:NUHOPE SA RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUGGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-210-4673
Mailing Address - Street 1:19026 RIDGEWOOD PKWY STE 311
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-5502
Mailing Address - Country:US
Mailing Address - Phone:833-210-4673
Mailing Address - Fax:
Practice Address - Street 1:19026 RIDGEWOOD PKWY STE 311
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-5502
Practice Address - Country:US
Practice Address - Phone:833-210-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4290-4291324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility