Provider Demographics
NPI:1497920771
Name:HOPE HEALTH AND WELLNESS INC
Entity Type:Organization
Organization Name:HOPE HEALTH AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-686-0120
Mailing Address - Street 1:7731 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-7430
Mailing Address - Country:US
Mailing Address - Phone:561-721-9696
Mailing Address - Fax:561-721-9722
Practice Address - Street 1:4360 NORTHLAKE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6265
Practice Address - Country:US
Practice Address - Phone:561-721-9696
Practice Address - Fax:561-686-8073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8376OtherMEDICARE