Provider Demographics
NPI:1427244078
Name:HOPE HOME THERAPY, INC.
Entity type:Organization
Organization Name:HOPE HOME THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NASOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSW
Authorized Official - Phone:813-777-7023
Mailing Address - Street 1:15107 SOUTHFORK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2354
Mailing Address - Country:US
Mailing Address - Phone:813-846-8663
Mailing Address - Fax:813-960-8831
Practice Address - Street 1:15107 SOUTHFORK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2354
Practice Address - Country:US
Practice Address - Phone:813-846-8663
Practice Address - Fax:813-960-8831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty