1326160821 NPI number — HIGH HOPE EMPLOYMENT SERVICES, INC.

Table of content: (NPI 1326160821)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326160821 NPI number — HIGH HOPE EMPLOYMENT SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIGH HOPE EMPLOYMENT SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326160821
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
611 WEST THIRD STREET
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
MILAN
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
660-265-4614
Provider Business Mailing Address Fax Number:
660-265-3016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
708 NORTH PEARL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILAN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-265-4614
Provider Business Practice Location Address Fax Number:
660-265-3016
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
BOARD PRESIDENT
Authorized Official Telephone Number:
660-265-5942

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  0623181 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: N00029677 . This is a "CORPORATION NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 13505840 . This is a "STATE ID NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 13505840 . This is a "MO TAX EXEMPT NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 853192508 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com