Provider Demographics
NPI:1740900513
Name:ARRAY OF HOPE HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:ARRAY OF HOPE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTZOG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-455-6532
Mailing Address - Street 1:1557 BOBBITT DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9685
Mailing Address - Country:US
Mailing Address - Phone:919-455-6532
Mailing Address - Fax:919-944-3131
Practice Address - Street 1:1557 BOBBITT DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9685
Practice Address - Country:US
Practice Address - Phone:919-455-6532
Practice Address - Fax:919-944-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care