Provider Demographics
NPI:1568752525
Name:ALF HOME OF HOPE LLC
Entity Type:Organization
Organization Name:ALF HOME OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-939-0124
Mailing Address - Street 1:1449 ALDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2966
Mailing Address - Country:US
Mailing Address - Phone:469-939-0124
Mailing Address - Fax:
Practice Address - Street 1:2539 KIRKLEY ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-4872
Practice Address - Country:US
Practice Address - Phone:214-372-1492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX128685310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility