Provider Demographics
NPI:1053993766
Name:NPHX HOPE CENTER,LLC
Entity type:Organization
Organization Name:NPHX HOPE CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PAETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-707-5729
Mailing Address - Street 1:5757 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1315
Mailing Address - Country:US
Mailing Address - Phone:602-707-5729
Mailing Address - Fax:
Practice Address - Street 1:5757 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1315
Practice Address - Country:US
Practice Address - Phone:602-707-5729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable