Provider Demographics
NPI:1962085720
Name:SAMARITAN HOPE EMPOWERMENT SERVICES
Entity type:Organization
Organization Name:SAMARITAN HOPE EMPOWERMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CED/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORIYAH
Authorized Official - Middle Name:EMUNAH
Authorized Official - Last Name:YASHAR'EL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-994-7685
Mailing Address - Street 1:PO BOX 668055
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33066-8055
Mailing Address - Country:US
Mailing Address - Phone:954-994-7685
Mailing Address - Fax:954-206-0697
Practice Address - Street 1:1951 W COPANS RD STE 8-14
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1549
Practice Address - Country:US
Practice Address - Phone:954-994-7685
Practice Address - Fax:954-206-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health