| Hope House Inc. | |
|
747 Madison Ave Albany NY 12208 | |
| (518) 427-8207 | |
| (518) 427-5998 |
| Full Name | Hope House Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 747 Madison Ave, Albany, New York |
| Authorized Official Name and Position | Kevin M. Connally (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5184824673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope House Inc. 573 Livingston Ave Albany NY 12206 Ph: (518) 482-4673 | Hope House Inc. 747 Madison Ave Albany NY 12208 Ph: (518) 427-8207 |
| NPI Number | 1164507505 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 03/16/2015 |
| Medicare PECOS PAC ID | 3971817891 |
|---|---|
| Medicare Enrollment ID | O20150805007059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164507505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071110809 (New York) | Primary |
| Provider Name | Patricia V Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770673311 PECOS PAC ID: 1759344070 Enrollment ID: I20041108001052 |
| Provider Name | James A Samenfeld Specht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700811403 PECOS PAC ID: 2365344926 Enrollment ID: I20081209000789 |
| Provider Name | Jacquelyn R Hassfurter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488295 PECOS PAC ID: 9830463843 Enrollment ID: I20170914001469 |
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