Provider Demographics
NPI:1962279901
Name:FOSTERING HOPE HOME LLC
Entity type:Organization
Organization Name:FOSTERING HOPE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNDUFU
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-423-9170
Mailing Address - Street 1:7267 W CACTUS WREN DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-2562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7267 W CACTUS WREN DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-2562
Practice Address - Country:US
Practice Address - Phone:602-523-9170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care