Provider Demographics
NPI:1366657553
Name:NEW HOPE COMMUNITY, INC.
Entity Type:Organization
Organization Name:NEW HOPE COMMUNITY, INC.
Other - Org Name:101 DEES DRIVE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:A. JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:845-434-8300
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:101 DEES DRIVE
Mailing Address - City:LOCH SHELDRAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12759-0289
Mailing Address - Country:US
Mailing Address - Phone:845-434-8300
Mailing Address - Fax:845-436-7311
Practice Address - Street 1:ROUTE 52
Practice Address - Street 2:101 DEES DRIVE
Practice Address - City:LOCH SHELDRAKE
Practice Address - State:NY
Practice Address - Zip Code:12759-0289
Practice Address - Country:US
Practice Address - Phone:845-434-8300
Practice Address - Fax:845-436-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0452463315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02109786OtherICF 101