Provider Demographics
NPI:1902585979
Name:HOPE HEART HEAL
Entity Type:Organization
Organization Name:HOPE HEART HEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-721-6973
Mailing Address - Street 1:21168 E OCOTILLO RD # 1082
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-8175
Mailing Address - Country:US
Mailing Address - Phone:480-721-6973
Mailing Address - Fax:833-925-2836
Practice Address - Street 1:5418 E SKYLINE DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-9000
Practice Address - Country:US
Practice Address - Phone:480-721-6973
Practice Address - Fax:833-925-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable