Healthcare Provider Details

I. General information

NPI: 1467016212
Provider Name (Legal Business Name): FACE OF HOPE FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 MISSION VALLEY BLVD
NOKOMIS FL
34275-1745
US

IV. Provider business mailing address

2271 MISSION VALLEY BLVD
NOKOMIS FL
34275-1745
US

V. Phone/Fax

Practice location:
  • Phone: 941-237-0235
  • Fax:
Mailing address:
  • Phone: 941-237-0235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: EVELYN GORE
Title or Position: CEO / FOUNDER
Credential:
Phone: 941-237-0235