Provider Demographics
NPI:1659409191
Name:BUILDERS OF HOPE GLOBAL VILLAGE INC.
Entity Type:Organization
Organization Name:BUILDERS OF HOPE GLOBAL VILLAGE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:319-936-3548
Mailing Address - Street 1:1570 S 1ST AVE
Mailing Address - Street 2:SUITE N
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6012
Mailing Address - Country:US
Mailing Address - Phone:319-936-3548
Mailing Address - Fax:
Practice Address - Street 1:1570 S 1ST AVE
Practice Address - Street 2:SUITE N
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6012
Practice Address - Country:US
Practice Address - Phone:319-936-3548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0493916Medicaid
IA0747576Medicaid