Provider Demographics
NPI:1083758353
Name:HOUSE OF HOPE, INC
Entity Type:Organization
Organization Name:HOUSE OF HOPE, INC
Other - Org Name:HOUSE OF HOPE & STEPPING STONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:954-524-8989
Mailing Address - Street 1:908 ARPEIKA ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-1601
Mailing Address - Country:US
Mailing Address - Phone:954-523-4673
Mailing Address - Fax:
Practice Address - Street 1:908 ARPEIKA ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1601
Practice Address - Country:US
Practice Address - Phone:954-523-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1006AD459501324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility