Ideal Hope Renaissance

LBN: Ideal Hope Renaissance
Ideal Hope Renaissance is an health care organization with primary practice located at 1701 N Lee Trevino Dr Ste A , El Paso TX 79936-4549. The organization recently has only one registered license in Other Service Providers / Health Educator, which is considered as the primary health care specialty. Ideal Hope Renaissance can be contacted via phone (915) 262-4664, or through Ekechukwu, Kenneth O via phone (215) 496-0518.

Contact Information

Primary practice address
1701 N Lee Trevino Dr Ste A El Paso TX 79936-4549
Phone: (915) 262-4664
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekechukwu, Kenneth O
Phone: (215) 496-0518

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1366151136
LBN Legal business name Ideal Hope Renaissance
DBA Doing business as
Authorized official Ekechukwu, Kenneth O
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2022
Last updated Nov 21st, 2022 - about 3 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 1366151136 NPPES
Texas Other 803693584 CERTIFICATE OF FORMATION

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