Provider Demographics
NPI:1912570458
Name:HOPEFUL DEVELOPMENTAL SERVICES LLC
Entity Type:Organization
Organization Name:HOPEFUL DEVELOPMENTAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:OSIGBOYEGA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSIBOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-865-8590
Mailing Address - Street 1:380 CRANDON AVE
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-2201
Mailing Address - Country:US
Mailing Address - Phone:773-865-8590
Mailing Address - Fax:
Practice Address - Street 1:380 CRANDON AVE
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-2201
Practice Address - Country:US
Practice Address - Phone:773-865-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker