Provider Demographics
NPI:1205723699
Name:HARBOR OF HOPE LLC
Entity type:Organization
Organization Name:HARBOR OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZEYTUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-822-9131
Mailing Address - Street 1:4221 NE MONGOOSE LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-2507
Mailing Address - Country:US
Mailing Address - Phone:515-822-9131
Mailing Address - Fax:
Practice Address - Street 1:4221 NE MONGOOSE LN
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2507
Practice Address - Country:US
Practice Address - Phone:515-822-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care