NPIMap

Organization Active NPI

New Hope Village, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Carroll, IA
National Provider Identifier
1215012463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
140734 Issued in IA
Legal business name
NEW HOPE VILLAGE, INC
Practice address
1211 E 18TH St
Carroll, IA 51401-1833
Phone
(712) 792-5500
Fax
(712) 792-9944
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 140734 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

IdentifierTypeStateIssuer
0890285MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
New Hope Village Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215012463",
    "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, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "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": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "140734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890285",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.