MEDICARE: HOPE ASSISTED LIVING LLC

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

General Provider Information

NPI Number	:	1649083726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE ASSISTED LIVING LLC

Provider Business Mailing Address
First Line	:	14123 W HOPE DR
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-4343
Country	:	US
Telephone Number	:	623-214-5342
Fax Number	:	623-214-5342

Provider Business Practice Location Address
First Line	:	14123 W HOPE DR
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-4343
Country	:	US
Telephone Number	:	623-214-5342
Fax Number	:	623-214-5342

Authorized Official
Title or Position	:	MANAGER
Name	:	IONEL FANICA
Credential	:
Telephone Number	:	602-653-8557

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	12/16/2025

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