Provider Demographics
NPI:1669921581
Name:A RAY OF HOPE LLC
Entity type:Organization
Organization Name:A RAY OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ETHELYN
Authorized Official - Middle Name:SEAMON
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-231-2808
Mailing Address - Street 1:6218 E 15TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64126-2652
Mailing Address - Country:US
Mailing Address - Phone:816-231-2808
Mailing Address - Fax:
Practice Address - Street 1:6218 E.15TH TERR.
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64126
Practice Address - Country:US
Practice Address - Phone:816-231-2808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO159014824251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health