Provider Demographics
NPI:1083475784
Name:HOPE CARES INTEGRATED SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HOPE CARES INTEGRATED SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:SR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-291-4151
Mailing Address - Street 1:1262 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2439
Mailing Address - Country:US
Mailing Address - Phone:757-291-4151
Mailing Address - Fax:
Practice Address - Street 1:1262 W 26TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2439
Practice Address - Country:US
Practice Address - Phone:757-291-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health