Provider Demographics
NPI:1376940486
Name:NATIVE HOPE HOME CARE LLC
Entity Type:Organization
Organization Name:NATIVE HOPE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLEAVE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-283-6599
Mailing Address - Street 1:PO BOX 908
Mailing Address - Street 2:
Mailing Address - City:TONALEA
Mailing Address - State:AZ
Mailing Address - Zip Code:86044-0908
Mailing Address - Country:US
Mailing Address - Phone:928-283-6599
Mailing Address - Fax:877-283-0621
Practice Address - Street 1:1 MILES SOUTH MILEPOST 357 ON UNITED STATES HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:TONALEA
Practice Address - State:AZ
Practice Address - Zip Code:86044
Practice Address - Country:US
Practice Address - Phone:928-283-6599
Practice Address - Fax:877-283-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)