Healthcare Provider Details

I. General information

NPI: 1861838336
Provider Name (Legal Business Name): HOPE N PEACE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W BEDFORD EULESS RD STE 109
HURST TX
76053-4042
US

IV. Provider business mailing address

8029 KATIE LN
WATAUGA TX
76148-1514
US

V. Phone/Fax

Practice location:
  • Phone: 817-280-9987
  • Fax: 817-280-9911
Mailing address:
  • Phone: 469-951-0477
  • Fax: 214-865-6646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number015735
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number015735
License Number StateTX

VIII. Authorized Official

Name: MISS SALOME JEMUTAI SUTTER
Title or Position: PRESIDENT
Credential: RN
Phone: 469-951-0477