Provider Demographics
NPI:1962649897
Name:ANGELS OF HOPE, LLC
Entity Type:Organization
Organization Name:ANGELS OF HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:DEFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-613-0437
Mailing Address - Street 1:4380 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:AL
Mailing Address - Zip Code:35907-5117
Mailing Address - Country:US
Mailing Address - Phone:256-613-0437
Mailing Address - Fax:256-413-3930
Practice Address - Street 1:215 E GORDON ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-4263
Practice Address - Country:US
Practice Address - Phone:706-647-4673
Practice Address - Fax:706-647-6545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA145-0307-H251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA111674OtherMEDICARE PROVIDER NUMBER