Provider Demographics
NPI:1649810946
Name:HEARTS OF HOPE LLC
Entity type:Organization
Organization Name:HEARTS OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:K
Authorized Official - Last Name:NJENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-282-6947
Mailing Address - Street 1:4352 E ANGELA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2289
Mailing Address - Country:US
Mailing Address - Phone:623-282-6947
Mailing Address - Fax:602-483-1670
Practice Address - Street 1:4352 E ANGELA DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2289
Practice Address - Country:US
Practice Address - Phone:623-282-6947
Practice Address - Fax:602-483-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services