Provider Demographics
NPI:1215535711
Name:HOPE HEALTHCARE SYSTEM INTERNATIONAL LLC
Entity Type:Organization
Organization Name:HOPE HEALTHCARE SYSTEM INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:IGUNBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-597-5612
Mailing Address - Street 1:14601 BELLAIRE BLVD # 151
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2505
Mailing Address - Country:US
Mailing Address - Phone:713-597-5612
Mailing Address - Fax:
Practice Address - Street 1:14601 BELLAIRE BLVD # 151
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2505
Practice Address - Country:US
Practice Address - Phone:713-597-5612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based