Provider Demographics
NPI:1962692145
Name:HANDS OF HOPE SERVICES, LLC
Entity type:Organization
Organization Name:HANDS OF HOPE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:E.D.
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SHEARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-881-1940
Mailing Address - Street 1:3555 QUISENBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8514
Mailing Address - Country:US
Mailing Address - Phone:270-881-1940
Mailing Address - Fax:
Practice Address - Street 1:3555 QUISENBERRY LN
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8514
Practice Address - Country:US
Practice Address - Phone:270-881-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities