Provider Demographics
NPI:1427415827
Name:NEW HOPE CENTER INC
Entity Type:Organization
Organization Name:NEW HOPE CENTER INC
Other - Org Name:NEW HOPE RESIDENTIAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF RESIDENTIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PISTERZI
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:708-841-1071
Mailing Address - Street 1:1624 E 154TH ST
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-3002
Mailing Address - Country:US
Mailing Address - Phone:708-841-1071
Mailing Address - Fax:708-841-1053
Practice Address - Street 1:1624 E 154TH ST
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-3002
Practice Address - Country:US
Practice Address - Phone:708-841-1071
Practice Address - Fax:708-841-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251C00000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251C00000XAgenciesDay Training, Developmentally Disabled Services