Provider Demographics
NPI:1245011857
Name:HOPE CARE AGENCY LLC
Entity type:Organization
Organization Name:HOPE CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-200-6194
Mailing Address - Street 1:311 DARLING AVENUE
Mailing Address - Street 2:STE A13
Mailing Address - City:SOUTH-PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-200-6194
Mailing Address - Fax:
Practice Address - Street 1:311 DARLING AVENUE
Practice Address - Street 2:STE A13
Practice Address - City:SOUTH-PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-200-6194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities