Hope Harbor Therapies

LBN: Hope Group Llc
Hope Harbor Therapies is an health care organization with primary practice located at 6239 Yellowstone Dr , Port Orange FL 32127-6756. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Case Management. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Hope Group Llc can be contacted via phone (386) 872-4892, or through Wallace, Ebonie C via phone (386) 872-4892.

Contact Information

Primary practice address
6239 Yellowstone Dr Port Orange FL 32127-6756
Phone: (386) 872-4892
Fax: (386) 256-2159
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Ebonie C
Phone: (386) 872-4892

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1649622358
LBN Legal business name Hope Group Llc
DBA Doing business as Hope Harbor Therapies
Authorized official Wallace, Ebonie C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2016
Last updated Jan 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649622358 NPPES
Florida MEDICAID 018130100

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