Healthcare Provider Details

I. General information

NPI: 1508967449
Provider Name (Legal Business Name): HOPE LANDING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HOPE LANDING
EL DORADO AR
71730-0215
US

IV. Provider business mailing address

214 HOPE LANDING P.O. BOX 10215
EL DORADO AR
71730-0215
US

V. Phone/Fax

Practice location:
  • Phone: 870-862-0500
  • Fax: 870-862-2100
Mailing address:
  • Phone: 870-862-0500
  • Fax: 870-862-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOT-A409
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT541
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA2085
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR969
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP#2005
License Number StateAR
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP#1989
License Number StateAR
# 7
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP#860
License Number StateAR

VIII. Authorized Official

Name: MRS. JENNIFER KINARD WYLIE
Title or Position: EXECUTIVE DIRECTOR
Credential: M.A., CCC-SLP
Phone: 870-862-0500