Provider Demographics
NPI:1174667125
Name:HOUSE OF HOPE
Entity Type:Organization
Organization Name:HOUSE OF HOPE
Other - Org Name:CDE TRANSPORTATION & SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE PRACTICALNUR
Authorized Official - Phone:520-826-4065
Mailing Address - Street 1:424 W KAIBAB WAY
Mailing Address - Street 2:
Mailing Address - City:COCHISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85606-8710
Mailing Address - Country:US
Mailing Address - Phone:520-826-4065
Mailing Address - Fax:520-826-1716
Practice Address - Street 1:424 W KAIBAB WAY
Practice Address - Street 2:
Practice Address - City:COCHISE
Practice Address - State:AZ
Practice Address - Zip Code:85606-8710
Practice Address - Country:US
Practice Address - Phone:520-826-4065
Practice Address - Fax:520-826-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH-2895343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)