Provider Demographics
NPI:1326160821
Name:HIGH HOPE EMPLOYMENT SERVICES, INC.
Entity Type:Organization
Organization Name:HIGH HOPE EMPLOYMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-265-5942
Mailing Address - Street 1:611 WEST THIRD STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MILAN
Mailing Address - State:MO
Mailing Address - Zip Code:63556
Mailing Address - Country:US
Mailing Address - Phone:660-265-4614
Mailing Address - Fax:660-265-3016
Practice Address - Street 1:708 NORTH PEARL
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MO
Practice Address - Zip Code:63556
Practice Address - Country:US
Practice Address - Phone:660-265-4614
Practice Address - Fax:660-265-3016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0623181251C00000X
MO251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MON00029677OtherCORPORATION NUMBER
MO13505840OtherSTATE ID NUMBER
MO13505840OtherMO TAX EXEMPT NUMBER
MO853192508Medicaid