NEW HOPE COMMUNITY SERVICE CENTER (NPI# 1497272884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497272884 |
| Entity Type | Organization |
| Organization Name | NEW HOPE COMMUNITY SERVICE CENTER |
| Practice Address |
2559 W 79th St Chicago IL 60652-1751 |
| Practice Telephone | (773) 737-9555 |
| Practice Fax Number | 7737370401 |
| Mailing Telephone | 7737379555 |
| Mailing Fax Number | 7737370401 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MRS. BRENDA J GOLDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737379555 |
| Authorized Official Credential | MHS/MAC/CAADC/MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1447819578 | New Hope Community Service Center | Internal Medicine | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-06-12 |
| 1023674595 | New Hope Community Service Center | Pharmacy | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-05-10 |
| 1356519714 | New Hope Community Service Center | Community/Behavioral Health | 2559 W 79th St, Chicago, IL 60652-1751 | 2008-02-19 |
| Street Address |
2559 W 79TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972569556 | Masie Voy Isabell | Family Medicine | 2559 W 79th St, Chicago, IL 60652-1751 | 2006-04-24 |
| 1447819578 | New Hope Community Service Center | Internal Medicine | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-06-12 |
| 1023674595 | New Hope Community Service Center | Pharmacy | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-05-10 |
| 1649794736 | Brenda Joyce Golden | Counselor | 2559 W 79th St, Chicago, IL 60652-1751 | 2017-07-31 |
| 1063642841 | New Hope Community Sevice | Clinic/Center | 2559 W 79th St, Chicago, IL 60652-1751 | 2009-07-15 |
| 1356519714 | New Hope Community Service Center | Community/Behavioral Health | 2559 W 79th St, Chicago, IL 60652-1751 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.