Provider Demographics
NPI:1861165961
Name:HOPE 365 LLC
Entity type:Organization
Organization Name:HOPE 365 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-660-2744
Mailing Address - Street 1:17350 STATE HIGHWAY 249 STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1132
Mailing Address - Country:US
Mailing Address - Phone:346-248-2958
Mailing Address - Fax:281-783-2833
Practice Address - Street 1:14514 JULIE MEADOWS LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4928
Practice Address - Country:US
Practice Address - Phone:281-660-2744
Practice Address - Fax:281-783-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier