Provider Demographics
NPI:1326275207
Name:ASSURANCE OF HOPE INSTITUTE
Entity Type:Organization
Organization Name:ASSURANCE OF HOPE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SWABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-368-6856
Mailing Address - Street 1:5975 W SUNRISE BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6801
Mailing Address - Country:US
Mailing Address - Phone:954-368-6856
Mailing Address - Fax:954-400-7394
Practice Address - Street 1:5975 W. SUNRISE BLVD.
Practice Address - Street 2:SUITE 115
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-6801
Practice Address - Country:US
Practice Address - Phone:954-368-6856
Practice Address - Fax:954-400-7394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No253Z00000XAgenciesIn Home Supportive Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health