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NEW HOPE COMMUNITY INC. NPI 1790990984


NPI Information

NPI: 1790990984
Provider Name: NEW HOPE COMMUNITY, INC.

Other Name: 411 LARRY'S WAY

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
411 LARRY'S WAY
ROUTE 52
LOCH SHELDRAKE, NY
ZIP 12759
Phone: (845) 434-8300
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NEW HOPE COMMUNITY, INC. is an intermediate care facility mentally retarded in Loch Sheldrake, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NEW HOPE COMMUNITY, INC. NPI is 1790990984. The provider is registered as an organization entity type.
The provider Other Name Is 411 Larry's Way.

The provider's business location address is:

411 LARRY'S WAY
ROUTE 52
LOCH SHELDRAKE, NY
ZIP 12759-289
Phone: (845) 434-8300
Fax: (845) 436-7311

The provider's authorized official is A. James Forbes .
The authorized official title is Executive Director and has the following contact phone number (845) 434-8300.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/4/2015.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities0452467NEW YORKYes

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
102000104MEDICAIDNEW YORK

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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