Provider Demographics
NPI:1497266928
Name:HEALING AND HOPE MISSION, CORP
Entity Type:Organization
Organization Name:HEALING AND HOPE MISSION, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOREUS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:904-520-1245
Mailing Address - Street 1:7038 ALANA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-4183
Mailing Address - Country:US
Mailing Address - Phone:904-520-1245
Mailing Address - Fax:
Practice Address - Street 1:7038 ALANA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-4183
Practice Address - Country:US
Practice Address - Phone:904-520-1245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9287698251E00000X, 251J00000X
FLARNP9207698251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care