Healthcare Provider Details

I. General information

NPI: 1992783765
Provider Name (Legal Business Name): HOPE PROFESSIONAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11731 STERLING AVE STE C
RIVERSIDE CA
92503-4958
US

IV. Provider business mailing address

18375 VENTURA BLVD STE 539
TARZANA CA
91356-4218
US

V. Phone/Fax

Practice location:
  • Phone: 951-351-9901
  • Fax: 951-351-9965
Mailing address:
  • Phone: 951-351-9901
  • Fax: 951-351-9965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number250000788
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SILVIA B. MORALES
Title or Position: CEO ADMINISTRATOR
Credential:
Phone: 951-351-9901