Provider Demographics
NPI:1881438141
Name:HOPE PROFESSIONAL SERVICES LLC
Entity type:Organization
Organization Name:HOPE PROFESSIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLATUTU
Authorized Official - Middle Name:A
Authorized Official - Last Name:OJENIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-965-0000
Mailing Address - Street 1:264 AMITY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2200
Mailing Address - Country:US
Mailing Address - Phone:860-965-0000
Mailing Address - Fax:203-204-2530
Practice Address - Street 1:264 AMITY RD STE 104
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2200
Practice Address - Country:US
Practice Address - Phone:860-965-0000
Practice Address - Fax:203-204-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty