Provider Demographics
NPI:1346758422
Name:HOPE HOME CARE CORP.
Entity type:Organization
Organization Name:HOPE HOME CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ALTAGRACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:570-455-2400
Mailing Address - Street 1:601 S POPLAR ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-7707
Mailing Address - Country:US
Mailing Address - Phone:570-455-2400
Mailing Address - Fax:570-455-2201
Practice Address - Street 1:601 S POPLAR ST STE 4
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-7707
Practice Address - Country:US
Practice Address - Phone:570-455-2200
Practice Address - Fax:570-455-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA36263601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
36263601OtherFACILITY ID