Provider Demographics
NPI:1942889779
Name:HEARTS OF HOPE, LLC
Entity Type:Organization
Organization Name:HEARTS OF HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-635-2629
Mailing Address - Street 1:1065 S MAIN ST BLDG D STE H
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2927
Mailing Address - Country:US
Mailing Address - Phone:575-635-2629
Mailing Address - Fax:
Practice Address - Street 1:1065 S MAIN ST BLDG D STE H
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2927
Practice Address - Country:US
Practice Address - Phone:575-635-2629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services