Provider Demographics
NPI:1043949555
Name:RESTORING HOPE, LLC
Entity type:Organization
Organization Name:RESTORING HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-255-8781
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0869
Mailing Address - Country:US
Mailing Address - Phone:417-255-8781
Mailing Address - Fax:
Practice Address - Street 1:304 S. PINE ST.
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MO
Practice Address - Zip Code:65622
Practice Address - Country:US
Practice Address - Phone:417-255-8781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESTORING HOPE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities