Provider Demographics
NPI:1811464035
Name:HOPE HOMES RECOVERY, LLC
Entity type:Organization
Organization Name:HOPE HOMES RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-556-0840
Mailing Address - Street 1:7000 PEACHTREE DUNWOODY RD BLDG 17-110
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-6767
Mailing Address - Country:US
Mailing Address - Phone:678-556-0840
Mailing Address - Fax:678-556-0841
Practice Address - Street 1:432 VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4793
Practice Address - Country:US
Practice Address - Phone:678-556-0840
Practice Address - Fax:678-556-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness