New Hope Community, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Loch Sheldrake, NY
NPI 1275748469 · NPPES record last updated Aug 4, 2015
Key facts
- NPI
- 1275748469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 0452462 (NY)
- Legal business name
- NEW HOPE COMMUNITY, INC.
- Practice address
- 102 Dees Drive
Route 52
Loch Sheldrake, NY 12759-0289 - Phone
- (845) 434-8300
- Fax
- (845) 436-7311
- NPI assigned
- May 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. A. James Forbes Jr.
- Title
- Executive Director
- Phone
- (845) 434-8300
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- 101 Dees Drive
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0452462 | NY | Yes |
Addresses
Primary practice location
102 Dees Drive
Route 52
Loch Sheldrake, NY 12759-0289
Mailing address
PO Box 289
102 Dees Drive
Loch Sheldrake, NY 12759-0289
Phone (845) 434-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02204951 | Medicaid | NY |
Other names
- 102 Dees Drive
Other providers in Loch Sheldrake, NY
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
- New Hope Community, Inc.
All providers in Loch Sheldrake, NY · Intellectual Disabilities Intermediate Care Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.