Provider Demographics
NPI:1619407822
Name:NEW HOPE ASSISTANT LIVING OF GEORGIA, INC
Entity Type:Organization
Organization Name:NEW HOPE ASSISTANT LIVING OF GEORGIA, INC
Other - Org Name:NEW HOPE PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-692-3875
Mailing Address - Street 1:3985 FLAT SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1588
Mailing Address - Country:US
Mailing Address - Phone:770-692-4240
Mailing Address - Fax:770-692-4245
Practice Address - Street 1:3985 FLAT SHOALS RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-1588
Practice Address - Country:US
Practice Address - Phone:770-692-4240
Practice Address - Fax:770-692-4245
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-02-047-1311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility