Provider Demographics
NPI:1063134732
Name:HOPE HOMECARE SERVICES
Entity type:Organization
Organization Name:HOPE HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:NOOR
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MHRT/C
Authorized Official - Phone:207-312-8591
Mailing Address - Street 1:31 RIVER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7873
Mailing Address - Country:US
Mailing Address - Phone:207-312-8591
Mailing Address - Fax:
Practice Address - Street 1:124 LISBON ST RM F
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7106
Practice Address - Country:US
Practice Address - Phone:207-312-8591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care