Provider Demographics
NPI:1023894904
Name:NEW HOPE HOMES LLC
Entity type:Organization
Organization Name:NEW HOPE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIEUDONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKUNDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-541-4825
Mailing Address - Street 1:5000 DERBY RIDGE DR APT 406
Mailing Address - Street 2:5000 DERBY RIDGE DRIVE AT 406
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202
Mailing Address - Country:US
Mailing Address - Phone:573-305-3703
Mailing Address - Fax:
Practice Address - Street 1:5000 DERBY RIDGE DR APT 406
Practice Address - Street 2:5000 DERBY RIDGE DRIVE AT 406
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202
Practice Address - Country:US
Practice Address - Phone:573-305-3703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty