Provider Demographics
NPI:1528455169
Name:HOPE HOSPICE OF ATLANTA, INC
Entity type:Organization
Organization Name:HOPE HOSPICE OF ATLANTA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-694-6750
Mailing Address - Street 1:300 W I PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5079
Mailing Address - Country:US
Mailing Address - Phone:770-694-6750
Mailing Address - Fax:770-818-5720
Practice Address - Street 1:300 W I PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5079
Practice Address - Country:US
Practice Address - Phone:770-694-6750
Practice Address - Fax:770-818-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based