Provider Demographics
NPI:1386046373
Name:HOPE VIEW GARDENS ALF, INC.
Entity type:Organization
Organization Name:HOPE VIEW GARDENS ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:COKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-572-1003
Mailing Address - Street 1:12483 TANGERINE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-2041
Mailing Address - Country:US
Mailing Address - Phone:561-572-1003
Mailing Address - Fax:
Practice Address - Street 1:12483 TANGERINE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-2041
Practice Address - Country:US
Practice Address - Phone:561-572-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11968695310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility