Provider Demographics
NPI:1619494341
Name:WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS
Entity Type:Organization
Organization Name:WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS
Other - Org Name:WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:KENDRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-506-7846
Mailing Address - Street 1:2575 MONTESSOURI ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3059
Mailing Address - Country:US
Mailing Address - Phone:702-485-5020
Mailing Address - Fax:702-485-5083
Practice Address - Street 1:2575 MONTESSOURI ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3059
Practice Address - Country:US
Practice Address - Phone:702-485-5020
Practice Address - Fax:702-485-5083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VMAE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV201708171149107177F00000X, 324500000X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No177F00000XOther Service ProvidersLodging
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV201708171149107Medicaid