Provider Demographics
NPI:1235857103
Name:HOPE HOUSE HOME HEALTHCARE
Entity Type:Organization
Organization Name:HOPE HOUSE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-549-3882
Mailing Address - Street 1:107 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315-3431
Mailing Address - Country:US
Mailing Address - Phone:870-549-3882
Mailing Address - Fax:870-549-3883
Practice Address - Street 1:107 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-3431
Practice Address - Country:US
Practice Address - Phone:870-549-3882
Practice Address - Fax:870-549-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health