Provider Demographics
NPI:1649465980
Name:A NEW HOPE SOCIAL SERVICES PLLC
Entity type:Organization
Organization Name:A NEW HOPE SOCIAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-667-6095
Mailing Address - Street 1:202 E ANTON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-3779
Mailing Address - Country:US
Mailing Address - Phone:208-667-6095
Mailing Address - Fax:208-667-6173
Practice Address - Street 1:312 S FIRST AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1202
Practice Address - Country:US
Practice Address - Phone:208-263-7727
Practice Address - Fax:208-263-7728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A NEW HOPE SOCIAL SERVICES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8078238Medicaid
ID8078235Medicaid
ID8078237Medicaid