Provider Demographics
NPI:1407912843
Name:OUR HANDS OF HOPE INC.
Entity Type:Organization
Organization Name:OUR HANDS OF HOPE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-867-5733
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28053-1551
Mailing Address - Country:US
Mailing Address - Phone:704-867-5733
Mailing Address - Fax:704-867-5734
Practice Address - Street 1:707 S AVON ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0448
Practice Address - Country:US
Practice Address - Phone:704-867-5733
Practice Address - Fax:704-867-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X
NCMHL-036-201322D00000X
NCMHL-036-216322D00000X
NCMHL-036-217322D00000X
NCMHL-055-102322D00000X
NCMHL-055-103322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301636BMedicaid
NC6604018Medicaid
NC6603545Medicaid
NC6603700Medicaid
NC3404910Medicaid
NC6603701Medicaid
NC6604019Medicaid