Provider Demographics
NPI:1194125989
Name:ABODE OF HOPE HCS
Entity type:Organization
Organization Name:ABODE OF HOPE HCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-576-2130
Mailing Address - Street 1:14235 BISSONNET ST
Mailing Address - Street 2:75
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14235 BISSONNET ST
Practice Address - Street 2:75
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6351
Practice Address - Country:US
Practice Address - Phone:832-576-2130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health