Provider Demographics
NPI:1699987347
Name:ARRAY OF HOPE SPECIALTY CARE, INC.
Entity type:Organization
Organization Name:ARRAY OF HOPE SPECIALTY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HINA
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MC
Authorized Official - Phone:912-353-9885
Mailing Address - Street 1:116 OGLETHORPE PRO. CT.
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-353-9885
Mailing Address - Fax:912-353-9704
Practice Address - Street 1:11OXFORD COURT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:912-927-3892
Practice Address - Fax:912-353-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025R0030385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0000953433BMedicaid