Provider Demographics
NPI:1508982869
Name:COMMUNITY HOPE LLC
Entity Type:Organization
Organization Name:COMMUNITY HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEATON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:606-682-4534
Mailing Address - Street 1:852 COUNTY FARM RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-7529
Mailing Address - Country:US
Mailing Address - Phone:606-682-4534
Mailing Address - Fax:606-877-6566
Practice Address - Street 1:852 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-7529
Practice Address - Country:US
Practice Address - Phone:606-682-4534
Practice Address - Fax:606-877-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities