Healthcare Provider Details

I. General information

NPI: 1528886421
Provider Name (Legal Business Name): HOPE HEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W BROADWAY STE 37
COUNCIL BLUFFS IA
51503-9019
US

IV. Provider business mailing address

300 W BROADWAY STE 37
COUNCIL BLUFFS IA
51503-9019
US

V. Phone/Fax

Practice location:
  • Phone: 712-828-5240
  • Fax: 515-495-6700
Mailing address:
  • Phone: 712-828-5240
  • Fax: 515-495-6700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. YOLANDA EMERALD HENDERSON
Title or Position: OWNER
Credential:
Phone: 712-828-5240