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NEW HOPE FOUNDATION NPI 1083093330


NPI Information

NPI: 1083093330
Provider Name: NEW HOPE FOUNDATION

Other Name: EPIPHANY HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 31D1003514

Address:
1110 GRAND AVE
ASBURY PARK, NJ
ZIP 07712
Phone: (732) 946-3030
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NEW HOPE FOUNDATION is a substance abuse rehabilitation facility in Asbury Park, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEW HOPE FOUNDATION NPI is 1083093330. The provider is registered as an organization entity type.
The provider Other Name Is Epiphany House.

The provider's business location address is:

1110 GRAND AVE
ASBURY PARK, NJ
ZIP 07712-012
Phone: (732) 946-3030
Fax: (732) 946-4891

The provider's authorized official is Marge Ruchaevsky .
The authorized official title is Cfo and has the following contact phone number (732) 946-3030.

The CLIA number assigned to this NPI record is 31D1003514 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 5/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility2000336NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10411779MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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