Provider Demographics
NPI:1588094080
Name:JJ HOPE, INC
Entity type:Organization
Organization Name:JJ HOPE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWICKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:708-452-0159
Mailing Address - Street 1:5050 N CUMBERLAND AVE
Mailing Address - Street 2:16Q
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-2903
Mailing Address - Country:US
Mailing Address - Phone:708-452-0159
Mailing Address - Fax:708-452-0159
Practice Address - Street 1:5050 N CUMBERLAND AVE
Practice Address - Street 2:16Q
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-2903
Practice Address - Country:US
Practice Address - Phone:708-452-0159
Practice Address - Fax:708-452-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherEIN