1649507385 NPI number — HOPE CARE SERVICES

Table of content: (NPI 1649507385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649507385 NPI number — HOPE CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE CARE SERVICES
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:
1649507385
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1447 WOODLAND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INKSTER
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48141-1743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-238-4400
Provider Business Mailing Address Fax Number:
734-418-2768

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1447 WOODLAND DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INKSTER
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48141-1743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-238-4400
Provider Business Practice Location Address Fax Number:
734-418-2768
Provider Enumeration Date:
11/16/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NWOGU
Authorized Official First Name:
JOACHIM
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
734-238-4400

Provider Taxonomy Codes

  • Taxonomy code: 3104A0625X , with the licence number:  AS820296889 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3104A0625X , with the licence number: AS820294974 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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