Healthcare Provider Details

I. General information

NPI: 1447699673
Provider Name (Legal Business Name): CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 WESTMORELAND DR SUITE 215
EL PASO TX
79925-5659
US

IV. Provider business mailing address

518 AVENUE H
LEVELLAND TX
79336-3727
US

V. Phone/Fax

Practice location:
  • Phone: 806-568-3111
  • Fax: 806-568-2316
Mailing address:
  • Phone: 806-897-9735
  • Fax: 806-568-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number23046
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number1498650
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES AURTHER ALDRICH
Title or Position: CEO-PRESIDENT
Credential:
Phone: 806-897-9735