1346745270 NPI number — HOPE RESOURCE CENTER, LLC

Table of content: (NPI 1346745270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346745270 NPI number — HOPE RESOURCE CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE RESOURCE CENTER, 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:
1346745270
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1051 HILLEN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21202-4124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-656-2142
Provider Business Mailing Address Fax Number:
667-309-6198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1051 HILLEN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21202-4124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-656-2142
Provider Business Practice Location Address Fax Number:
667-309-6198
Provider Enumeration Date:
03/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
BAILEY
Authorized Official First Name:
CANDACE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
410-656-2142

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  BH000426 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: BH000426 . This is a "MD DEPT. OF HEALTH BEHAVORIAL HEALTH ADMINISTRATION" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com