Basic Information
| Provider Information | |||||||||
| NPI: | 1467790113 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOPE INDUSTRIES LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | A CARING FRIEND HOME HEALTH CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 E DESERT INN RD STE 314 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891693207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028391088 | ||||||||
| FaxNumber: | 7026502800 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 E DESERT INN RD STE 314 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891693207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028391088 | ||||||||
| FaxNumber: | 7026502800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2013 | ||||||||
| LastUpdateDate: | 01/30/2013 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | COFER | ||||||||
| AuthorizedOfficialFirstName: | KELLY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CEO/ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7028391088 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | 59119CS0 | NV | Y | Agencies | In Home Supportive Care |
No ID Information.