Provider Demographics
NPI:1013514108
Name:COMMUNITY OF HOPE, INC.
Entity Type:Organization
Organization Name:COMMUNITY OF HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BENFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-461-2861
Mailing Address - Street 1:1400 MUIRFIELD BEND DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-3529
Mailing Address - Country:US
Mailing Address - Phone:512-461-2861
Mailing Address - Fax:
Practice Address - Street 1:1400 MUIRFIELD BEND DR UNIT B
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-3529
Practice Address - Country:US
Practice Address - Phone:512-461-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care