Provider Demographics
NPI:1720629363
Name:GARDEN OF HOPE HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:GARDEN OF HOPE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZLANSER
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZOE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTER NURSE
Authorized Official - Phone:317-550-6296
Mailing Address - Street 1:8430 BELMAC WAY
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-5512
Mailing Address - Country:US
Mailing Address - Phone:317-550-6296
Mailing Address - Fax:
Practice Address - Street 1:8430 BELMAC WAY
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-5512
Practice Address - Country:US
Practice Address - Phone:317-550-6296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health