Basic Information
| Provider Information | |||||||||
| NPI: | 1851603336 | ||||||||
| 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: | 2545 S. BRUCE STREET | ||||||||
| Address2: | SUITE C | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891691778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028391088 | ||||||||
| FaxNumber: | 7026502800 | ||||||||
| Practice Location | |||||||||
| Address1: | 2545 S BRUCE ST STE C | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891691778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028391088 | ||||||||
| FaxNumber: | 7026502800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2010 | ||||||||
| LastUpdateDate: | 07/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | COFER | ||||||||
| AuthorizedOfficialFirstName: | TAS | ||||||||
| AuthorizedOfficialMiddleName: | HARRISON | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7028391088 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | II | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | NVS5911PCS | NV | Y | Agencies | In Home Supportive Care |
No ID Information.