Provider Demographics
NPI:1831114735
Name:NEW HOPE CAROLINAS
Entity Type:Organization
Organization Name:NEW HOPE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-572-3498
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:843-572-3498
Mailing Address - Fax:843-574-9394
Practice Address - Street 1:101 SEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2315
Practice Address - Country:US
Practice Address - Phone:803-328-9300
Practice Address - Fax:803-328-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC942MXHMedicaid
SCRTF-032Medicaid
DC036315800Medicaid
NC3404518Medicaid