Healthcare Provider Details

I. General information

NPI: 1982880175
Provider Name (Legal Business Name): HOPE RESTORED HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 07/21/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELIOT CIR
MILTON MA
02186-1601
US

IV. Provider business mailing address

1 ELIOT CIR
MILTON MA
02186-1601
US

V. Phone/Fax

Practice location:
  • Phone: 617-698-1740
  • Fax: 617-698-4531
Mailing address:
  • Phone: 617-698-1740
  • Fax: 617-698-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: MRS. PATRICIA O. BABAJIDE
Title or Position: C.E.O.
Credential:
Phone: 617-698-1740