Healthcare Provider Details

I. General information

NPI: 1962293274
Provider Name (Legal Business Name): HOPE ALIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JULES AVE APT 2
SAN FRANCISCO CA
94112-1739
US

IV. Provider business mailing address

PO BOX 3063
DALY CITY CA
94015-0063
US

V. Phone/Fax

Practice location:
  • Phone: 650-200-3305
  • Fax:
Mailing address:
  • Phone:
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELE ECHELE
Title or Position: CEO
Credential:
Phone: 650-200-3305