New Hope Behavioral Health Residential

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

NEW HOPE BEHAVIORAL HEALTH RESIDENTIAL

Doing business as

New Hope Behavioral Health Residential

Practice address

9624 W Trumbull Rd
Tolleson, AZ 85353-5729

Phone

(480) 466-3452

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By 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

Michel Gahakanyi

Title

Chief Executive Officer

Phone

(605) 413-0143

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Hope Behavioral Health Residential Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1831762319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 W TRUMBULL RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535729",
            "telephone_number": "480-466-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 W TRUMBULL RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535729",
            "telephone_number": "480-466-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE BEHAVIORAL HEALTH RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GAHAKANYI",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-413-0143"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239056",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tolleson",
            "affiliation": "N",
            "endpointDescription": "tolleson",
            "address_1": "9624 W Trumbull Rd",
            "city": "Tolleson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853535729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Hope Behavioral Health Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zinayida Nektalova, PA-C
• Danielle Nelson, PHARM.D.
• Behaylu T Nemomsa
• New Beginning Behavioral Health LLC
• New Beginnings Group Home, Inc.
• New Hope for Living, Inc (Strong Hold Behavioral Health Homes)
• New Hope of Arizona, Inc
• New Hope of Arizona, Inc.
• New Hope of Arizona, Inc.
• New Hope of Arizona, Inc.

• Mental Illness Community Based Residential Treatment Facility in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.