Healthcare Provider Details

I. General information

NPI: 1689269169
Provider Name (Legal Business Name): HOPE CAPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7725 N 43RD AVE STE 411
PHOENIX AZ
85051-5771
US

IV. Provider business mailing address

PO BOX 74554
NEW RIVER AZ
85087-1010
US

V. Phone/Fax

Practice location:
  • Phone: 480-681-0400
  • Fax: 602-892-8700
Mailing address:
  • Phone: 480-681-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH HOPE
Title or Position: MANAGING MEMBER
Credential: OWNER
Phone: 602-300-2620