Healthcare Provider Details

I. General information

NPI: 1811283732
Provider Name (Legal Business Name): HOUSE OF HOPE MINISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 FLORIN RD STE 156
SACRAMENTO CA
95822-4479
US

IV. Provider business mailing address

2251 FLORIN RD STE 156
SACRAMENTO CA
95822-4479
US

V. Phone/Fax

Practice location:
  • Phone: 916-594-7227
  • Fax:
Mailing address:
  • Phone: 916-594-7227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATRINA VERA LEE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 916-594-7227