Provider Demographics
NPI:1073580163
Name:HOPE HOUSE FOUNDATION
Entity Type:Organization
Organization Name:HOPE HOUSE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-625-6161
Mailing Address - Street 1:801 BOUSH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1510
Mailing Address - Country:US
Mailing Address - Phone:757-625-6161
Mailing Address - Fax:757-625-7775
Practice Address - Street 1:801 BOUSH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1510
Practice Address - Country:US
Practice Address - Phone:757-625-6161
Practice Address - Fax:757-625-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA271-02-006251C00000X
VA271-03-001320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities