Healthcare Provider Details
I. General information
NPI: 1831614528
Provider Name (Legal Business Name): PROVIDING HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 EAST RIVER ROAD SUITE 3
RUMSON NJ
07760
US
IV. Provider business mailing address
120 E RIVER RD STE 3
RUMSON NJ
07760-1631
US
V. Phone/Fax
- Phone: 732-268-7235
- Fax: 732-268-7236
- Phone: 732-268-7235
- Fax: 732-268-7236
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ROSEMARY
SHERMAN
Title or Position: CEO / FOUNDER
Credential:
Phone: 732-268-7235