Active NPI
New Hope Village
- Intellectual Disabilities Intermediate Care Facility
- Carroll, IA
National Provider Identifier
1184705576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- IMR-734
- Legal business name
- NEW HOPE VILLAGE
- Practice address
- 1211 E 18TH St
Carroll, IA 51401-1833 - Phone
- (712) 792-5500
- Fax
- (712) 792-9944
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Hermsen
- Title
- Ceo
- Phone
- (712) 792-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | IMR-734 | IA | Primary |
Addresses
Primary practice location
1211 E 18TH St
Carroll, IA 51401-1833
Mailing address
1211 E 18TH St
PO Box 887
Carroll, IA 51401-1833
Phone (712) 792-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0880070 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184705576. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G004
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NEW HOPE VILLAGE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- May 1, 1978
- Last certification
- Jan 27, 2025
- Beds
- 49
- Ownership / control type
- Private (non-profit)
- Facility address
- 1211 East 18TH Street
Carroll, IA 51401
National Provider Directory
National Provider Directory- Tax ID family
- New Hope Village Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Carroll, IA
- NPI 1215012463
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Carroll, IA
- NPI 1285729418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184705576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E 18TH ST",
"address_2": "PO BOX 887",
"city": "CARROLL",
"state": "IA",
"postal_code": "514011833",
"telephone_number": "712-792-5500",
"fax_number": "712-792-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 E 18TH ST",
"city": "CARROLL",
"state": "IA",
"postal_code": "514011833",
"telephone_number": "712-792-5500",
"fax_number": "712-792-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE VILLAGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERMSEN",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "712-792-5500"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IA",
"license": "IMR-734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0880070",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carroll, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.