Provider Demographics
NPI:1700957040
Name:NEW HOPE CENTER
Entity type:Organization
Organization Name:NEW HOPE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHABILITATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:LEPPANEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-849-9351
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:443 MANHATTAN STREET
Mailing Address - City:CHILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53014-0189
Mailing Address - Country:US
Mailing Address - Phone:920-849-9351
Mailing Address - Fax:920-849-7792
Practice Address - Street 1:443 MANHATTAN ST
Practice Address - Street 2:
Practice Address - City:CHILTON
Practice Address - State:WI
Practice Address - Zip Code:53014-1565
Practice Address - Country:US
Practice Address - Phone:920-849-9351
Practice Address - Fax:920-849-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41204400Medicaid