Provider Demographics
NPI:1407620479
Name:FACING HOPE NOW ESTOY NO PROBLEMOS PALMS 91
Entity Type:Organization
Organization Name:FACING HOPE NOW ESTOY NO PROBLEMOS PALMS 91
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMARA
Authorized Official - Middle Name:BLACKMAN
Authorized Official - Last Name:BLESSINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-431-9874
Mailing Address - Street 1:1616 S 216TH AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-6574
Mailing Address - Country:US
Mailing Address - Phone:800-582-7450
Mailing Address - Fax:800-808-9944
Practice Address - Street 1:4118 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-7314
Practice Address - Country:US
Practice Address - Phone:623-715-6486
Practice Address - Fax:800-808-9944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF BUCKEYE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174200000XOther Service ProvidersMeals
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle