Provider Demographics
NPI:1609955822
Name:HOPE NURSING HOME CARE, LLC
Entity Type:Organization
Organization Name:HOPE NURSING HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ROBERTS
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-724-6145
Mailing Address - Street 1:1049 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3238
Mailing Address - Country:US
Mailing Address - Phone:401-467-8588
Mailing Address - Fax:401-467-4224
Practice Address - Street 1:1049 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-3238
Practice Address - Country:US
Practice Address - Phone:401-467-8588
Practice Address - Fax:401-467-4224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02315251E00000X
251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHN50619OtherHOME HEALTH, MEDICAID
RI1609955822Medicaid
RIHNC02419-01OtherSTATE OF RI DHCHFR
RIHNC02419OtherSTATE OF RI DHCHFR