Provider Demographics
NPI:1992152763
Name:HOPE CARE FOUNDATION
Entity type:Organization
Organization Name:HOPE CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH PROFESSIONAL
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:318-218-0564
Mailing Address - Street 1:PO BOX 4067
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71134-0067
Mailing Address - Country:US
Mailing Address - Phone:318-218-0564
Mailing Address - Fax:800-410-3898
Practice Address - Street 1:609 GOODWILL ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-2423
Practice Address - Country:US
Practice Address - Phone:318-218-5549
Practice Address - Fax:800-410-3898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health