Provider Demographics
NPI:1386951440
Name:HOPE ENTERPRISES OF AMERICA, INC.
Entity type:Organization
Organization Name:HOPE ENTERPRISES OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASATELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:727-934-1524
Mailing Address - Street 1:1629 GULF RD
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2718
Mailing Address - Country:US
Mailing Address - Phone:727-934-1524
Mailing Address - Fax:727-937-4628
Practice Address - Street 1:1629 GULF RD
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-2718
Practice Address - Country:US
Practice Address - Phone:727-934-1524
Practice Address - Fax:727-937-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9550310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL140316800Medicaid
FL677386996Medicaid