Provider Demographics
NPI:1770729931
Name:HOMES OF A NEW HOPE, INC
Entity type:Organization
Organization Name:HOMES OF A NEW HOPE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:ROBERT LEE
Authorized Official - Last Name:MITCHENER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-351-0574
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-0481
Mailing Address - Country:US
Mailing Address - Phone:919-351-0574
Mailing Address - Fax:
Practice Address - Street 1:126 JETHRO CIR
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-6941
Practice Address - Country:US
Practice Address - Phone:919-351-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-051-169322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children