Provider Demographics
NPI:1184838740
Name:NEW HOPE SCHOOL
Entity Type:Organization
Organization Name:NEW HOPE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-608-1059
Mailing Address - Street 1:26675 N. SACRAMENTO BLVD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CA
Mailing Address - Zip Code:95686
Mailing Address - Country:US
Mailing Address - Phone:209-608-1059
Mailing Address - Fax:
Practice Address - Street 1:26675 N. SACRAMENTO BLVD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CA
Practice Address - Zip Code:95686
Practice Address - Country:US
Practice Address - Phone:209-608-1059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASS0161234251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS0161234Medicaid