Provider Demographics
NPI:1114538071
Name:SPRINGS OF HOPE CARE SERVICES LLC
Entity Type:Organization
Organization Name:SPRINGS OF HOPE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-434-8670
Mailing Address - Street 1:19038 E RYAN RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6877
Mailing Address - Country:US
Mailing Address - Phone:480-434-8670
Mailing Address - Fax:
Practice Address - Street 1:1224 W VINEYARD PLAINS DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-3470
Practice Address - Country:US
Practice Address - Phone:480-434-8670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health