New Hope Residential Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL026747 Issued in NC

Legal business name

NEW HOPE RESIDENTIAL FACILITY

Practice address

3222 Glenmore Dr
Hope Mills, NC 28348-1701

Phone

(910) 426-1228

Fax

(910) 488-1109

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hazel Cassandra Byrd, QUALIFIED PROFESSION

Title

Chief Executive Officer

Phone

(910) 229-1473

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New Hope Family Services3 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.

• New Hope Residential

  • Health Service Psychologist
  • Fayetteville, NC
  • NPI 1235312661
  NPD tax ID
• New Hope Family Services, Inc.

  • Community/Behavioral Health Agency
  • Alpharetta, GA
  • NPI 1972629228
  NPD tax ID

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1770612665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 WOODFIELD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033845",
            "telephone_number": "910-229-1473",
            "fax_number": "910-229-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 GLENMORE DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481701",
            "telephone_number": "910-426-1228",
            "fax_number": "910-488-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE RESIDENTIAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-229-1473",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QUALIFIED PROFESSION"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.