New Hope Behavioral Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

NEW HOPE BEHAVIORAL RESIDENTIAL LLC

Practice address

12514 W Willow Ave
El Mirage, AZ 85335-6020

Phone

(623) 600-8683

Fax

(623) 600-8683

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Jean Remy Nahimana

Title

Administrator

Phone

(602) 545-6580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1932812419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 W WILLOW AVE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356020",
            "telephone_number": "623-600-8683",
            "fax_number": "623-600-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12514 W WILLOW AVE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356020",
            "telephone_number": "623-600-8683",
            "fax_number": "623-600-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE BEHAVIORAL RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "NAHIMANA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "REMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-545-6580"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in El Mirage, AZ
• Providers in El Mirage, 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 Dec 30, 2022; 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.