Provider Demographics
NPI:1154466928
Name:HOPE HOUSE FOR THE MULTIPLE-HANDICAPPED, INC.
Entity Type:Organization
Organization Name:HOPE HOUSE FOR THE MULTIPLE-HANDICAPPED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:626-747-9311
Mailing Address - Street 1:4215 PECK RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2113
Mailing Address - Country:US
Mailing Address - Phone:626-443-1313
Mailing Address - Fax:626-443-1134
Practice Address - Street 1:4215 PECK RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-2113
Practice Address - Country:US
Practice Address - Phone:626-443-1313
Practice Address - Fax:626-443-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960000699315P00000X
CA960000621315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC60396FMedicaid
CALTC60456FMedicaid