Provider Demographics
NPI:1932954328
Name:RAY OF HOPE RESIDENTIAL CARE LLC
Entity Type:Organization
Organization Name:RAY OF HOPE RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATRICE
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-832-2859
Mailing Address - Street 1:8059 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-2911
Mailing Address - Country:US
Mailing Address - Phone:248-832-2859
Mailing Address - Fax:
Practice Address - Street 1:8059 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-2911
Practice Address - Country:US
Practice Address - Phone:248-832-2859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health