Healthcare Provider Details

I. General information

NPI: 1639039720
Provider Name (Legal Business Name): HOPE RESIDENTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3281 N GREGORY AVE
FRESNO CA
93722-0420
US

IV. Provider business mailing address

3281 N GREGORY AVE
FRESNO CA
93722-0420
US

V. Phone/Fax

Practice location:
  • Phone: 323-681-8874
  • Fax:
Mailing address:
  • Phone: 323-681-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALEXIS DUNIVANT
Title or Position: CEO
Credential:
Phone: 323-681-8874