NPIMap

Organization Active NPI

New Hope Center/ Phoenix Court

  • Intellectual Disabilities Intermediate Care Facility
  • South Holland, IL
National Provider Identifier
1841450384
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
NEW HOPE CENTER/ PHOENIX COURT
Practice address
17312 Clyde Ave
South Holland, IL 60473-3746
Phone
(708) 418-0555
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Anthony Pisterzi
Title
Director of Residential Services
Phone
(708) 841-1071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

17312 Clyde Ave
South Holland, IL 60473-3746

Mailing address

1624 E 154TH St
Dolton, IL 60419-3002
Phone (708) 841-1071

National Provider Directory

National Provider Directory
Tax ID family
New Hope Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1624 E 154th St
Dolton, IL 60419
Phone (708) 841-1071

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1841450384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E 154TH ST",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604193002",
            "telephone_number": "708-841-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17312 CLYDE AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733746",
            "telephone_number": "708-418-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE CENTER/ PHOENIX COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "PISTERZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "708-841-1071"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.