New Hope Cdu, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NEW HOPE CDU, LLC

Practice address

2 Wickersham St
Mangum, OK 73554-9117

Phone

(580) 782-3337

Fax

(580) 782-3338

NPI assigned

Apr 18, 2012

Last updated

Jan 4, 2015By 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

Mr. Robert Russell HicksNPI 1336560283

Title

Ceo

Phone

(580) 928-3200

Specialties & licenses 1

Addresses

Tax ID family

New Hope Cdu LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• New Hope CDL LLC

  • Substance Abuse Rehabilitation Facility
  • Cordell, OK
  • NPI 1063858041
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Hicks

  • Addiction (Substance Use Disorder) Counselor
  • Sayre, OK
  • NPI 1336560283
  Authorized official Same address or phone

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420329600000",
    "number": "1760749576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E GRAND AVE",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736621907",
            "telephone_number": "580-928-3200",
            "fax_number": "405-928-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WICKERSHAM ST",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735549117",
            "telephone_number": "580-782-3337",
            "fax_number": "580-782-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE CDU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2015-01-04",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-928-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Jane McClain, BSW
• Steffany Mealer
• Robert Albert Milstead, B.S.
• Michelle Dawn Mullens
• New Hope Cdu LLC
• Bryton Newton Newton
• Tammy Ochoa
• Nelson Simba Ogembo, FNP-C
• Parents Investment Corporation (Bratton Drug)
• Teryl Pearson, M.ED., LADC

• Substance Abuse Rehabilitation Facility in Mangum, OK
• Providers in Mangum, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2015; 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.