Provider Demographics
NPI:1750890521
Name:HOPE OF GLORY LLC
Entity type:Organization
Organization Name:HOPE OF GLORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-434-2197
Mailing Address - Street 1:5630 LINCOLNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-5636
Mailing Address - Country:US
Mailing Address - Phone:469-274-9405
Mailing Address - Fax:
Practice Address - Street 1:5630 LINCOLNWOOD DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-5636
Practice Address - Country:US
Practice Address - Phone:469-274-9405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty