Provider Demographics
NPI:1205678562
Name:HOPE HOMES RECOVERY SERVICES LLC
Entity type:Organization
Organization Name:HOPE HOMES RECOVERY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:VOSS-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-864-0644
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-0021
Mailing Address - Country:US
Mailing Address - Phone:909-864-0644
Mailing Address - Fax:
Practice Address - Street 1:2007 N LUGO AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-4740
Practice Address - Country:US
Practice Address - Phone:909-864-0644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility