Provider Demographics
NPI:1891831202
Name:NEW HOPE HOMECARE
Entity Type:Organization
Organization Name:NEW HOPE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BURRIESCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-323-6900
Mailing Address - Street 1:221 RUTHERS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5395
Mailing Address - Country:US
Mailing Address - Phone:804-323-6900
Mailing Address - Fax:804-323-5910
Practice Address - Street 1:302 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3905
Practice Address - Country:US
Practice Address - Phone:704-982-9524
Practice Address - Fax:704-982-9564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418033Medicaid
NC6601386Medicaid