Provider Demographics
NPI:1407237324
Name:HOPE HOSPICE LLC
Entity Type:Organization
Organization Name:HOPE HOSPICE LLC
Other - Org Name:NOT APPLICABLE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR AND CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:I
Authorized Official - Last Name:OJO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MSN, PHN
Authorized Official - Phone:818-391-9180
Mailing Address - Street 1:7120 HAYVENHURST AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3813
Mailing Address - Country:US
Mailing Address - Phone:818-391-9180
Mailing Address - Fax:818-849-5837
Practice Address - Street 1:7120 HAYVENHURST AVE STE 206
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3813
Practice Address - Country:US
Practice Address - Phone:818-391-9180
Practice Address - Fax:818-849-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based