| House Of New Hope | |
|
8135 Mount Vernon Rd St Louisville OH 43071-9670 | |
| (740) 345-5437 | |
| (888) 810-6162 |
| Full Name | House Of New Hope |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8135 Mount Vernon Rd, St Louisville, Ohio |
| Authorized Official Name and Position | Jeffrey R. Greene (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7403211253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of New Hope 8135 Mount Vernon Rd St Louisville OH 43071-9670 Ph: (740) 345-5437 | House Of New Hope 8135 Mount Vernon Rd St Louisville OH 43071-9670 Ph: (740) 345-5437 |
| NPI Number | 1134354475 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 05/15/2009 |
| Medicare PECOS PAC ID | 4486897287 |
|---|---|
| Medicare Enrollment ID | O20130827000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134354475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
| Provider Name | Virgil G Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790820033 PECOS PAC ID: 0840339495 Enrollment ID: I20091120000361 |
| Provider Name | Rachel M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366640617 PECOS PAC ID: 9436328044 Enrollment ID: I20110815000943 |
| Provider Name | Elizabeth A Mccroskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962767509 PECOS PAC ID: 4385890433 Enrollment ID: I20120806000900 |
| Provider Name | Glenn Mccleese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225453129 PECOS PAC ID: 5092937409 Enrollment ID: I20141119000228 |