MEDICARE: HOPE SERVICES, 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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	L000000006540	TN

General Provider Information

NPI Number	:	1588973242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1161 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2222
Country	:	US
Telephone Number	:	615-399-6464
Fax Number	:	615-399-6411

Provider Business Practice Location Address
First Line	:	1161 MURFREESBORO PIKE
Second Line	:	SUITE 502
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2222
Country	:	US
Telephone Number	:	615-399-6464
Fax Number	:	615-399-6411

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. AMBROSE AMADI
Credential	:
Telephone Number	:	615-399-6464

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	09/29/2010

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Directions to “HOPE SERVICES, INC. ” Practice Location

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