HARBOR HOPE INC.


Address: 1626 S Park Ave, 908 Baldwin St, Neenah, WI 54956-5025
Phone: 9202259045

HARBOR HOPE INC. (NPI# 1790039519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790039519
Entity Type Organization
Organization Name HARBOR HOPE INC.
Practice Address 1626 S Park Ave
908 Baldwin St
Neenah
WI 54956-5025
Mailing Address 1626 S Park Ave
Neenah
WI 54956-5025
Practice Telephone 9202259045
Mailing Telephone 9202259045
Enumeration Date 2012-10-31
Last Update Date 2012-10-31
Authorized Official Name MR. THOMAS JEFFREY SMITH (PRESIDENT)
Authorized Official Telephone 9202259045
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 0013938 WI Residential Treatment Facilities

Office Location

Street Address 1626 S PARK AVE
908 BALDWIN ST
City NEENAH
State WI
Zip Code 54956-5025

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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1316312218 A Place for Miracles Living Center LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7022 N 43rd St, Milwaukee, WI 53209-2219 2015-12-03
1396088639 Bell Therapy, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 628 S 68th St, Milwaukee, WI 53214-1608 2013-04-05
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City NEENAH
Zip Code 54956

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Dataset Information

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.

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