Provider Demographics
NPI:1053287375
Name:VILLA OF HOPE INC
Entity type:Organization
Organization Name:VILLA OF HOPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-494-4246
Mailing Address - Street 1:11725 NE COUNTY ROAD 793
Mailing Address - Street 2:
Mailing Address - City:RAIFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32083-2727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11725 NE COUNTY ROAD 793
Practice Address - Street 2:
Practice Address - City:RAIFORD
Practice Address - State:FL
Practice Address - Zip Code:32083-2727
Practice Address - Country:US
Practice Address - Phone:352-494-4246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities