Provider Demographics
NPI:1104703669
Name:HOPE RISING DETOX AND REHAB LLC - HRSS
Entity type:Organization
Organization Name:HOPE RISING DETOX AND REHAB LLC - HRSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-669-4024
Mailing Address - Street 1:110 E PLEASANT VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2751
Mailing Address - Country:US
Mailing Address - Phone:435-669-4024
Mailing Address - Fax:
Practice Address - Street 1:671 S 1000 E
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-5555
Practice Address - Country:US
Practice Address - Phone:435-669-4024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE RISING DETOX AND REHAB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management