Provider Demographics
NPI:1326896127
Name:GRACE FOR H.O.P.E.
Entity type:Organization
Organization Name:GRACE FOR H.O.P.E.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:BEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-569-8699
Mailing Address - Street 1:20307 ASH GROVE LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3469
Mailing Address - Country:US
Mailing Address - Phone:813-569-8699
Mailing Address - Fax:813-315-7733
Practice Address - Street 1:8153 CANTERBURY LAKE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-6681
Practice Address - Country:US
Practice Address - Phone:813-569-8699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care Agency
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children