Provider Demographics
NPI:1194930743
Name:HOPE SENIOR LIVING, INC
Entity type:Organization
Organization Name:HOPE SENIOR LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURANZ
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:920-269-4386
Mailing Address - Street 1:PO BOX 13691
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-0691
Mailing Address - Country:US
Mailing Address - Phone:920-269-4386
Mailing Address - Fax:920-269-4978
Practice Address - Street 1:475 GROVE ST
Practice Address - Street 2:
Practice Address - City:LOMIRA
Practice Address - State:WI
Practice Address - Zip Code:53048-9355
Practice Address - Country:US
Practice Address - Phone:920-269-4386
Practice Address - Fax:920-269-4978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0011836310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility