MEDICARE: JACOB'S HOPE, 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	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1811454754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOB'S HOPE, INC.

Provider Business Mailing Address
First Line	:	1150 N COUNTRY CLUB DR STE 12
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-2537
Country	:	US
Telephone Number	:	480-398-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 N COUNTRY CLUB DR STE 12
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-2537
Country	:	US
Telephone Number	:	480-398-7373
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JO JONES
Credential	:
Telephone Number	:	602-618-6620

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	04/15/2026

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Directions to “JACOB'S HOPE, INC. ” Practice Location

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