Provider Demographics
NPI:1629160791
Name:HOPE LAND HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:HOPE LAND HOME HEALTH CARE, INC.
Other - Org Name:HOPE LAND HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAJIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAPATT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-518-0100
Mailing Address - Street 1:1300 W WALNUT HILL LN STE 106
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2912
Mailing Address - Country:US
Mailing Address - Phone:972-518-0100
Mailing Address - Fax:972-518-8444
Practice Address - Street 1:1300 W WALNUT HILL LN STE 106
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2912
Practice Address - Country:US
Practice Address - Phone:972-518-0100
Practice Address - Fax:972-518-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010994251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743129Medicare Oscar/Certification