Provider Demographics
NPI:1659265841
Name:INSTILLATION OF HOPE BEHAVIORAL CARE AND REHABILITATION LLC
Entity type:Organization
Organization Name:INSTILLATION OF HOPE BEHAVIORAL CARE AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESPERANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:NDEEMYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-270-5206
Mailing Address - Street 1:3312 CHELTENHAM DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2008
Mailing Address - Country:US
Mailing Address - Phone:859-270-5206
Mailing Address - Fax:
Practice Address - Street 1:3312 CHELTENHAM DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2008
Practice Address - Country:US
Practice Address - Phone:859-270-5206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care