Provider Demographics
NPI:1225726086
Name:HOPE RECOVERY KOKOMO, LLC
Entity Type:Organization
Organization Name:HOPE RECOVERY KOKOMO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-780-7689
Mailing Address - Street 1:6060 W MANCHESTER AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4267
Mailing Address - Country:US
Mailing Address - Phone:909-263-4829
Mailing Address - Fax:
Practice Address - Street 1:2395 E 100 N
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-3459
Practice Address - Country:US
Practice Address - Phone:765-780-7689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker