MEDICARE: HOPE CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		MO

General Provider Information

NPI Number	:	1972776789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CARE SERVICES

Provider Business Mailing Address
First Line	:	11704 WINCHESTER AVE APT 3
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-3831
Country	:	US
Telephone Number	:	816-359-8527
Fax Number	:	816-298-7333

Provider Business Practice Location Address
First Line	:	11704 WINCHESTER AVE APT 3
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-3831
Country	:	US
Telephone Number	:	816-359-8527
Fax Number	:	816-298-7333

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. FRANCIS JOHN
Credential	:
Telephone Number	:	816-359-8527

Provider Enumeration Date	:	04/12/2008
Last Update Date	:	04/12/2008

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Directions to “HOPE CARE SERVICES ” Practice Location

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