Healthcare Provider Details

I. General information

NPI: 1396483384
Provider Name (Legal Business Name): FOUNDATION OF HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N M ST
TULARE CA
93274-4139
US

IV. Provider business mailing address

1944 ACADEMY AVE
TULARE CA
93274-3187
US

V. Phone/Fax

Practice location:
  • Phone: 559-300-8557
  • Fax:
Mailing address:
  • Phone: 559-300-8557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERTA M FREDERICK
Title or Position: OWNER
Credential:
Phone: 559-300-8557