Healthcare Provider Details

I. General information

NPI: 1154775872
Provider Name (Legal Business Name): HOPE FAMILY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2016
Last Update Date: 05/07/2022
Certification Date: 05/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 NEW HIGHWAY 52 E
WESTMORELAND TN
37186-5060
US

IV. Provider business mailing address

1124 NEW HIGHWAY 52 E
WESTMORELAND TN
37186-5060
US

V. Phone/Fax

Practice location:
  • Phone: 615-644-0495
  • Fax: 615-644-2417
Mailing address:
  • Phone: 615-644-0495
  • Fax: 615-644-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5779
License Number StateTN

VIII. Authorized Official

Name: RICHARD COX
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: PHARMD
Phone: 615-644-6979