| Emberhope, Inc | |
|
900 W Broadway Newton KS 67114-2037 | |
| (316) 283-1950 | |
| (316) 529-9351 |
| Full Name | Emberhope, Inc |
|---|---|
| Speciality | Residential Treatment Facility, Physical Disabilities |
| Location | 900 W Broadway, Newton, Kansas |
| Authorized Official Name and Position | Nickaila Sandate (PRESIDENT & CEO) |
| Authorized Official Contact | 3162024989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emberhope, Inc Po Box 210 Newton KS 67114-0210 Ph: (316) 283-1950 | Emberhope, Inc 900 W Broadway Newton KS 67114-2037 Ph: (316) 283-1950 |
| NPI Number | 1265439871 |
|---|---|
| Provider Enumeration Date | 06/29/2005 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Medicare PECOS PAC ID | 5698854925 |
|---|---|
| Medicare Enrollment ID | O20080512000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265439871 | NPI | - | NPPES |
| Provider Name | Gerald L Snell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316971682 PECOS PAC ID: 7214914019 Enrollment ID: I20040630000443 |
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