Provider Demographics
NPI:1588450928
Name:HOPE HAVEN RECOVERY LLC
Entity type:Organization
Organization Name:HOPE HAVEN RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKARD
Authorized Official - Suffix:
Authorized Official - Credentials:APSS, CSA
Authorized Official - Phone:606-260-1275
Mailing Address - Street 1:60 SCARLET DR
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8070
Mailing Address - Country:US
Mailing Address - Phone:606-260-1275
Mailing Address - Fax:
Practice Address - Street 1:602 CALDWELL ST
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-1014
Practice Address - Country:US
Practice Address - Phone:606-260-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness