Provider Demographics
NPI:1568698165
Name:HOPES HAVEN INC
Entity Type:Organization
Organization Name:HOPES HAVEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-307-6188
Mailing Address - Street 1:3515 SKIPPING ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-2971
Mailing Address - Country:US
Mailing Address - Phone:804-303-8372
Mailing Address - Fax:804-303-8376
Practice Address - Street 1:3515 SKIPPING ROCK WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-2971
Practice Address - Country:US
Practice Address - Phone:804-303-8372
Practice Address - Fax:804-303-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACO-384-08322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children