Healthcare Provider Details

I. General information

NPI: 1285061549
Provider Name (Legal Business Name): CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.-CPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 AVENUE H
LEVELLAND TX
79336-3727
US

IV. Provider business mailing address

1155 WESTMORELAND DR STE 115
EL PASO TX
79925-5623
US

V. Phone/Fax

Practice location:
  • Phone: 806-897-9735
  • Fax: 806-568-2316
Mailing address:
  • Phone: 915-881-1980
  • Fax: 915-881-1981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number1498650
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES ARTHUR ALDRICH
Title or Position: CEO-PRESIDENT/FOUNDER
Credential: LCCA
Phone: 806-897-9735