Healthcare Provider Details

I. General information

NPI: 1750173043
Provider Name (Legal Business Name): HOPE HOUSE DAYCARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 S IDLEWILD ST
MEMPHIS TN
38104-3926
US

IV. Provider business mailing address

15 S IDLEWILD ST
MEMPHIS TN
38104-3926
US

V. Phone/Fax

Practice location:
  • Phone: 901-272-2702
  • Fax: 901-722-9520
Mailing address:
  • Phone: 901-491-6966
  • Fax: 901-491-6966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. LENOX WARREN
Title or Position: CEO
Credential: MSSW
Phone: 901-565-5630