Provider Demographics
NPI:1871931923
Name:HOPE OF COLUMBUS, INC.
Entity type:Organization
Organization Name:HOPE OF COLUMBUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-888-7880
Mailing Address - Street 1:1315 DELAUNEY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2367
Mailing Address - Country:US
Mailing Address - Phone:706-888-7880
Mailing Address - Fax:
Practice Address - Street 1:47 30TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31903-1734
Practice Address - Country:US
Practice Address - Phone:706-888-7880
Practice Address - Fax:706-689-7943
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE OF COLUMBUS,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA295222859AMedicaid