Healthcare Provider Details

I. General information

NPI: 1669064432
Provider Name (Legal Business Name): GUIDING HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E GRANADA BLVD STE 215B
ORMOND BEACH FL
32176-6660
US

IV. Provider business mailing address

100 E GRANADA BLVD STE 215B
ORMOND BEACH FL
32176-6660
US

V. Phone/Fax

Practice location:
  • Phone: 863-259-9424
  • Fax:
Mailing address:
  • Phone: 863-259-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR EMMANUEL SIMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 863-259-9424