Provider Demographics
NPI:1851005805
Name:HEART OF HOPE HOUSECALLS
Entity Type:Organization
Organization Name:HEART OF HOPE HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES-BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:682-249-2721
Mailing Address - Street 1:PO BOX 2212
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-2212
Mailing Address - Country:US
Mailing Address - Phone:832-600-5777
Mailing Address - Fax:
Practice Address - Street 1:801 ROAD TO SIX FLAGS W STE 128
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2600
Practice Address - Country:US
Practice Address - Phone:682-249-2721
Practice Address - Fax:682-224-5385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty