MEDICARE: HOPE CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	FCL081048	NC

General Provider Information

NPI Number	:	1396004370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	160 HEALTH CARE DR
Second Line	:
City	:	RUTHERFORDTON
State	:	NC
Zip	:	28139-8058
Country	:	US
Telephone Number	:	828-287-7353
Fax Number	:	828-286-4890

Provider Business Practice Location Address
First Line	:	1234 WHITESIDES RD
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-7619
Country	:	US
Telephone Number	:	828-287-7382
Fax Number	:	828-286-4890

Authorized Official
Title or Position	:	CEO
Name	:	MRS. BRENDA ANN YELTON
Credential	:
Telephone Number	:	828-287-7353

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	05/10/2012

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