Provider Demographics
NPI:1700913852
Name:VILLAGE OF HOPE, INC
Entity Type:Organization
Organization Name:VILLAGE OF HOPE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-860-4806
Mailing Address - Street 1:PO BOX 2517
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-2517
Mailing Address - Country:US
Mailing Address - Phone:410-749-6776
Mailing Address - Fax:410-742-1126
Practice Address - Street 1:1001 LAKE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-3141
Practice Address - Country:US
Practice Address - Phone:410-749-6776
Practice Address - Fax:410-742-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMD079LMedicare ID - Type Unspecified