Provider Demographics
NPI:1184471120
Name:HOPE HOUSE RESIDENTIAL CARE HOME
Entity type:Organization
Organization Name:HOPE HOUSE RESIDENTIAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA 409553
Authorized Official - Phone:727-598-5357
Mailing Address - Street 1:5549 BERLIN DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6309
Mailing Address - Country:US
Mailing Address - Phone:727-339-3166
Mailing Address - Fax:
Practice Address - Street 1:5549 BERLIN DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6309
Practice Address - Country:US
Practice Address - Phone:727-339-3166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home