Provider Demographics
NPI:1598335242
Name:HOPE IS HERE
Entity Type:Organization
Organization Name:HOPE IS HERE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOLAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-385-4442
Mailing Address - Street 1:15571 LUCKY PL
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3570
Mailing Address - Country:US
Mailing Address - Phone:323-385-4442
Mailing Address - Fax:
Practice Address - Street 1:16730 SCHOENBORN ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-6108
Practice Address - Country:US
Practice Address - Phone:323-385-4442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children