Provider Demographics
NPI:1245399526
Name:NEW HOPE FOUNDATION INC.
Entity Type:Organization
Organization Name:NEW HOPE FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERNESTINE
Authorized Official - Middle Name:SPELLER
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-345-3663
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:AULANDER
Mailing Address - State:NC
Mailing Address - Zip Code:27805-0339
Mailing Address - Country:US
Mailing Address - Phone:252-345-3663
Mailing Address - Fax:252-345-3665
Practice Address - Street 1:1503 HEXLENA RD
Practice Address - Street 2:
Practice Address - City:AULANDER
Practice Address - State:NC
Practice Address - Zip Code:27805-9431
Practice Address - Country:US
Practice Address - Phone:252-345-3663
Practice Address - Fax:252-345-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2300302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600911Medicaid
NC3409515Medicaid