Provider Demographics
NPI:1699359265
Name:HOPE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:HOPE HEALTHCARE SERVICES LLC
Other - Org Name:HOPE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKKO
Authorized Official - Middle Name:
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:855-827-4777
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:COTTLEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63338-0037
Mailing Address - Country:US
Mailing Address - Phone:855-827-4777
Mailing Address - Fax:866-950-4040
Practice Address - Street 1:1515 N WARSON RD STE 101
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1108
Practice Address - Country:US
Practice Address - Phone:855-827-4777
Practice Address - Fax:866-950-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health