Provider Demographics
NPI:1386385227
Name:HOPE HOUSE INC.
Entity type:Organization
Organization Name:HOPE HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-482-4673
Mailing Address - Street 1:573 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-2408
Mailing Address - Country:US
Mailing Address - Phone:518-482-4673
Mailing Address - Fax:
Practice Address - Street 1:2 HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1761
Practice Address - Country:US
Practice Address - Phone:518-482-4673
Practice Address - Fax:518-482-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health