Healthcare Provider Details

I. General information

NPI: 1144689613
Provider Name (Legal Business Name): CLEAR HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 08/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NEW BURTON RD. SUITE 102
DOVER DE
19904-5451
US

IV. Provider business mailing address

850 NEW BURTON RD. SUITE 102
DOVER DE
19904-5451
US

V. Phone/Fax

Practice location:
  • Phone: 302-346-7777
  • Fax:
Mailing address:
  • Phone: 302-346-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number2015600306
License Number StateDE

VIII. Authorized Official

Name: SARAH GONDOLFO
Title or Position: DIRECTOR
Credential:
Phone: 302-346-7777