Provider Demographics
NPI:1174381982
Name:EMBERHOPE CONNECTIONS, LLC
Entity type:Organization
Organization Name:EMBERHOPE CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FOSTER CARE
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCPAA
Authorized Official - Phone:785-623-1129
Mailing Address - Street 1:PO BOX 210
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-0210
Mailing Address - Country:US
Mailing Address - Phone:316-283-1950
Mailing Address - Fax:316-529-9351
Practice Address - Street 1:900 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2037
Practice Address - Country:US
Practice Address - Phone:316-283-1950
Practice Address - Fax:316-529-9351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMBERHOPE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management