Provider Demographics
NPI:1093249179
Name:AMERICA KIDS HOPE SERVICES INC
Entity Type:Organization
Organization Name:AMERICA KIDS HOPE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASDRUBAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-519-8012
Mailing Address - Street 1:5624 8TH ST W STE 116
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-6304
Mailing Address - Country:US
Mailing Address - Phone:239-491-2194
Mailing Address - Fax:855-222-7760
Practice Address - Street 1:5624 8TH ST W STE 116
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-6304
Practice Address - Country:US
Practice Address - Phone:239-491-2194
Practice Address - Fax:855-222-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022733300OtherFL MEDICAID