Provider Demographics
NPI:1710271317
Name:HOME WITH HOPE, INC.
Entity Type:Organization
Organization Name:HOME WITH HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-724-1634
Mailing Address - Street 1:109 HOLIDAY CT STE B3
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3083
Mailing Address - Country:US
Mailing Address - Phone:615-724-1634
Mailing Address - Fax:615-661-4505
Practice Address - Street 1:109 HOLIDAY CT STE B3
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3083
Practice Address - Country:US
Practice Address - Phone:615-724-1634
Practice Address - Fax:615-661-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00006589171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12345OtherNO PREVIOUS NPI