Provider Demographics
NPI:1376723965
Name:NEW HOPE HEARTLAND, LLC
Entity Type:Organization
Organization Name:NEW HOPE HEARTLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-776-6482
Mailing Address - Street 1:7515 NORTHSIDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-4283
Mailing Address - Country:US
Mailing Address - Phone:800-776-6482
Mailing Address - Fax:
Practice Address - Street 1:619 FAIRFIELD ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:KS
Practice Address - Zip Code:67118-9341
Practice Address - Country:US
Practice Address - Phone:620-478-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities