Provider Demographics
NPI:1265981070
Name:RAY OF HOPE HCS
Entity type:Organization
Organization Name:RAY OF HOPE HCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLATUBOSUN
Authorized Official - Middle Name:TUSIN
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-334-4411
Mailing Address - Street 1:1033 ENFILAR LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6344
Mailing Address - Country:US
Mailing Address - Phone:214-334-4411
Mailing Address - Fax:
Practice Address - Street 1:1033 ENFILAR LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6344
Practice Address - Country:US
Practice Address - Phone:214-334-4411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)