Provider Demographics
NPI:1306653795
Name:HOPE HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:HOPE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-705-1324
Mailing Address - Street 1:621 ROUTE 52 STE 2A
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1235
Mailing Address - Country:US
Mailing Address - Phone:845-447-9211
Mailing Address - Fax:
Practice Address - Street 1:621 ROUTE 52 STE 2A
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1235
Practice Address - Country:US
Practice Address - Phone:845-447-9211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty