Healthcare Provider Details
I. General information
NPI: 1043571730
Provider Name (Legal Business Name): HOPE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2012
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
460 E MIDDLEFIELD RD
MOUNTAIN VIEW CA
94043-4037
US
IV. Provider business mailing address
1555 PARKMOOR AVE
SAN JOSE CA
95128-2407
US
V. Phone/Fax
- Phone: 408-282-0402
- Fax:
- Phone: 408-282-0450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAYTON
NG
Title or Position: INTERIM CEO
Credential:
Phone: 408-284-2850