Provider Demographics
NPI:1134597628
Name:H.O.P.E. (HONORING OPPORTUNITIES FOR PERSONAL EMPOWERMENT)
Entity type:Organization
Organization Name:H.O.P.E. (HONORING OPPORTUNITIES FOR PERSONAL EMPOWERMENT)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLMAN MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-331-4142
Mailing Address - Street 1:3850 MERLE HAY RD
Mailing Address - Street 2:SUITE 606
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1330
Mailing Address - Country:US
Mailing Address - Phone:515-331-4142
Mailing Address - Fax:
Practice Address - Street 1:3850 MERLE HAY RD
Practice Address - Street 2:SUITE 606
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1330
Practice Address - Country:US
Practice Address - Phone:515-331-4142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAX000435057Medicaid