Provider Demographics
NPI:1417550310
Name:HOPEHOUSE ADULT CARE INC
Entity Type:Organization
Organization Name:HOPEHOUSE ADULT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APOLONE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DE SOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-860-0803
Mailing Address - Street 1:15643 SE 89TH TER
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-5609
Mailing Address - Country:US
Mailing Address - Phone:352-203-4254
Mailing Address - Fax:
Practice Address - Street 1:15643 SE 89TH TER
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-5609
Practice Address - Country:US
Practice Address - Phone:352-203-4254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility