Provider Demographics
NPI:1043790884
Name:FAITH AND HOPE OF NEW ORLEANS
Entity type:Organization
Organization Name:FAITH AND HOPE OF NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-450-1478
Mailing Address - Street 1:3000 KILPATRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5166
Mailing Address - Country:US
Mailing Address - Phone:318-388-6808
Mailing Address - Fax:877-819-9001
Practice Address - Street 1:3920 OLD GENTILLY RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4859
Practice Address - Country:US
Practice Address - Phone:318-450-1478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH THERAPEUTIC GROUP HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1598717251E00000X
LA1172618251E00000X
LA1664588251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health