Provider Demographics
NPI:1639204324
Name:HOUSES OF HOPE OF NE INC
Entity Type:Organization
Organization Name:HOUSES OF HOPE OF NE INC
Other - Org Name:TOUCHSTONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:CONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:402-435-3165
Mailing Address - Street 1:2015 SOUTH 16TH STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2431
Mailing Address - Country:US
Mailing Address - Phone:402-435-3165
Mailing Address - Fax:402-435-0430
Practice Address - Street 1:1100 MILITARY AVENUE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1047
Practice Address - Country:US
Practice Address - Phone:402-435-3165
Practice Address - Fax:402-435-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NESATC026324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE23703312086Medicaid