Provider Demographics
NPI:1144554429
Name:HOPE ELDERLY COMPANION SERVICES, LLC
Entity type:Organization
Organization Name:HOPE ELDERLY COMPANION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:HOUA
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-808-5907
Mailing Address - Street 1:422 UNIVERSITY AVE W STE 202
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1988
Mailing Address - Country:US
Mailing Address - Phone:651-808-5907
Mailing Address - Fax:651-459-2693
Practice Address - Street 1:422 UNIVERSITY AVE W STE 202
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1988
Practice Address - Country:US
Practice Address - Phone:651-808-5907
Practice Address - Fax:651-459-2693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-19
Last Update Date:2009-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346253251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health