Provider Demographics
NPI:1093345498
Name:NEW HOPE OF ARIZONA, INC.
Entity Type:Organization
Organization Name:NEW HOPE OF ARIZONA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-535-5686
Mailing Address - Street 1:12406 N 32ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7146
Mailing Address - Country:US
Mailing Address - Phone:602-535-5686
Mailing Address - Fax:
Practice Address - Street 1:12545 W WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-8025
Practice Address - Country:US
Practice Address - Phone:602-535-5686
Practice Address - Fax:602-535-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child