Provider Demographics
NPI:1659972917
Name:HOPE FAMILY ADULT DAY CARE CENTER LLC
Entity type:Organization
Organization Name:HOPE FAMILY ADULT DAY CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MARTINEZ SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-413-8657
Mailing Address - Street 1:204 E MCKENZIE ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-6069
Mailing Address - Country:US
Mailing Address - Phone:786-413-8657
Mailing Address - Fax:
Practice Address - Street 1:204 E MCKENZIE ST UNIT A
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-6069
Practice Address - Country:US
Practice Address - Phone:786-413-8657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care