New Hope CBRF, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0012152 Issued in WI

Legal business name

NEW HOPE CBRF, INC.

Practice address

133 W Elm St
Chippewa Falls, WI 54729-1826

Phone

(715) 720-1551

Fax

(715) 720-1505

NPI assigned

Nov 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John C Schultz

Title

Administrator

Phone

(715) 720-1551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1245574722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 686",
            "address_2": "133 W ELM STREET",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547290686",
            "telephone_number": "715-720-1551",
            "fax_number": "715-720-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ELM ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291826",
            "telephone_number": "715-720-1551",
            "fax_number": "715-720-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE CBRF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-720-1551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WI",
            "license": "0012152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.