Provider Demographics
NPI:1952920068
Name:RIVERS OF HOPE, INC
Entity Type:Organization
Organization Name:RIVERS OF HOPE, INC
Other - Org Name:RIVERS OF HOPE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINEGLIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:VICTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-857-0629
Mailing Address - Street 1:4 MAIN ST STE 22
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4027
Mailing Address - Country:US
Mailing Address - Phone:508-857-0629
Mailing Address - Fax:508-857-5149
Practice Address - Street 1:4 MAIN ST STE 22
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4027
Practice Address - Country:US
Practice Address - Phone:508-857-0629
Practice Address - Fax:508-857-5149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVERS OF HOPE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-09
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253J00000XAgenciesFoster Care Agency
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child