Provider Demographics
NPI:1699495499
Name:HOPE & NEW LIFE SERVICES
Entity type:Organization
Organization Name:HOPE & NEW LIFE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYERR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-275-5132
Mailing Address - Street 1:4700 W ROCHELLE AVE APT 242
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3824
Mailing Address - Country:US
Mailing Address - Phone:612-275-5132
Mailing Address - Fax:952-953-6227
Practice Address - Street 1:4700 W ROCHELLE AVE APT 242
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3824
Practice Address - Country:US
Practice Address - Phone:612-275-5132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE AND NEW LIFE HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)