Basic Information
| Provider Information | |||||||||
| NPI: | 1801296355 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOPE COMMUNITY SERVICES, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HOPE COMMUNITY SERVICES, LLC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12792 | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277092792 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253280826 | ||||||||
| FaxNumber: | 2253025506 | ||||||||
| Practice Location | |||||||||
| Address1: | 12097 OLD HAMMOND HWY | ||||||||
| Address2: | STE I4 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708168679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195991596 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2014 | ||||||||
| LastUpdateDate: | 08/02/2020 | ||||||||
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| AuthorizedOfficialLastName: | HARGROVE | ||||||||
| AuthorizedOfficialFirstName: | AMANDA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CFO/DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2253280826 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.