1700232261 NPI number — HOPEFUL BEGINNINGS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700232261 NPI number — HOPEFUL BEGINNINGS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPEFUL BEGINNINGS LLC
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:
6
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:
1700232261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 147
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPOLEON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43545-0147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-591-8093
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1012 RALSTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEFIANCE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43512-1397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-591-8093
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LANE-BALDWIN
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
419-591-8093

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  00007759-SUPV , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0161032 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com