Provider Demographics
NPI:1558587576
Name:TOMORROW'S HOPE SATELLITE SERVICES
Entity Type:Organization
Organization Name:TOMORROW'S HOPE SATELLITE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATO
Authorized Official - Prefix:
Authorized Official - First Name:THAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:POND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:280-319-0760
Mailing Address - Street 1:1655 W FAIRVIEW AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-5100
Mailing Address - Country:US
Mailing Address - Phone:208-319-0760
Mailing Address - Fax:208-319-0765
Practice Address - Street 1:1655 W FAIRVIEW AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5100
Practice Address - Country:US
Practice Address - Phone:208-319-0760
Practice Address - Fax:208-319-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID0025353Medicaid
ID0025354Medicaid