Provider Demographics
NPI:1326682774
Name:NEW HOPE RESIDENTIAL CARE
Entity Type:Organization
Organization Name:NEW HOPE RESIDENTIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMUKANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-518-0615
Mailing Address - Street 1:43 ROLLINS WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-1942
Mailing Address - Country:US
Mailing Address - Phone:207-518-0615
Mailing Address - Fax:
Practice Address - Street 1:43 ROLLINS WAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-1942
Practice Address - Country:US
Practice Address - Phone:207-518-0615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)