Provider Demographics
NPI:1376217505
Name:CANTY, HOPE M (CMA,CNA)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:M
Last Name:CANTY
Suffix:
Gender:F
Credentials:CMA,CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 AL JENNAH BLVD
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-3753
Mailing Address - Country:US
Mailing Address - Phone:404-992-7138
Mailing Address - Fax:
Practice Address - Street 1:114 AL JENNAH BLVD
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-3753
Practice Address - Country:US
Practice Address - Phone:404-992-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No172A00000XOther Service ProvidersDriver
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient