Healthcare Provider Details

I. General information

NPI: 1154160232
Provider Name (Legal Business Name): BLUHOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5547 VETERANS PKWY FL 1
COLUMBUS GA
31904-4484
US

IV. Provider business mailing address

5547 VETERANS PKWY FL 1
COLUMBUS GA
31904-4484
US

V. Phone/Fax

Practice location:
  • Phone: 786-436-1007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. NAFTULI JOSEPH
Title or Position: OWNER
Credential:
Phone: 470-410-9000