Provider Demographics
NPI:1043467418
Name:GARDEN OF HOPE INC
Entity type:Organization
Organization Name:GARDEN OF HOPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALTODANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-274-2138
Mailing Address - Street 1:11511 SW 83RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3619
Mailing Address - Country:US
Mailing Address - Phone:305-274-2138
Mailing Address - Fax:305-274-2138
Practice Address - Street 1:11511 SW 83RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3619
Practice Address - Country:US
Practice Address - Phone:305-274-2138
Practice Address - Fax:305-274-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10883310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility