Provider Demographics
NPI:1639487515
Name:NEW HOPE HEALTHCARE SYSTEMS - MERCER LLC
Entity type:Organization
Organization Name:NEW HOPE HEALTHCARE SYSTEMS - MERCER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:KOLENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-309-7613
Mailing Address - Street 1:7445 SE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2326
Mailing Address - Country:US
Mailing Address - Phone:206-232-6600
Mailing Address - Fax:206-232-6502
Practice Address - Street 1:7445 SE 24TH ST
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2326
Practice Address - Country:US
Practice Address - Phone:206-232-6600
Practice Address - Fax:206-232-6502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility