Provider Demographics
NPI:1467807065
Name:HOUSE OF HOPE COMMUNITY DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:HOUSE OF HOPE COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:HOUSE OF HOPE CDC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-463-3324
Mailing Address - Street 1:PO BOX 6130
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02887-6130
Mailing Address - Country:US
Mailing Address - Phone:401-463-3324
Mailing Address - Fax:
Practice Address - Street 1:3188 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7175
Practice Address - Country:US
Practice Address - Phone:401-463-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare