NPI Code Details Logo

NPI 1417810052

NPI 1417810052 : ZION'S HOPE, LLC : BALTIMORE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417810052
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ZION'S HOPE, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/09/2025
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2314 DUKELAND ST 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21216-2814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-520-1700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    111 W HENRIETTA ST 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21230-3609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-520-1700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     RANDY  SNYDER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    443-520-1700
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    324500000X
-----------------------------------------------------
    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.