Provider Demographics
NPI:1649979352
Name:ANGELIC HOUSE OF HOPE
Entity type:Organization
Organization Name:ANGELIC HOUSE OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-734-6250
Mailing Address - Street 1:15735 HARDING BEND DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4346
Mailing Address - Country:US
Mailing Address - Phone:281-734-6250
Mailing Address - Fax:
Practice Address - Street 1:5004 LAURA KOPPE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-5247
Practice Address - Country:US
Practice Address - Phone:281-734-6250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health