New Hope Transitional Living

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

NEW HOPE TRANSITIONAL LIVING

Practice address

1228 West 31St
San Bernardino, CA 92405

Phone

(909) 289-9045

Fax

(909) 402-4181

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Herbert Laverious Williams

Title

Director

Phone

(909) 289-9045

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1174177497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11605",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92423",
            "telephone_number": "909-289-9045",
            "fax_number": "909-402-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WEST 31ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-289-9045",
            "fax_number": "909-402-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE TRANSITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LAVERIOUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-289-9045"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.