Provider Demographics
NPI:1508758061
Name:HOPEFUL ASSURANCE HOME HEALTH CARE
Entity type:Organization
Organization Name:HOPEFUL ASSURANCE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-366-9256
Mailing Address - Street 1:216 JESSAMINE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39203-1541
Mailing Address - Country:US
Mailing Address - Phone:769-366-9256
Mailing Address - Fax:
Practice Address - Street 1:10 CANEBRAKE BLVD STE 110-094
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-2211
Practice Address - Country:US
Practice Address - Phone:769-366-9256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health