Provider Demographics
NPI:1669052080
Name:HOPERISING DEVELOPMENTAL DISBILITIES CENTER, INC
Entity type:Organization
Organization Name:HOPERISING DEVELOPMENTAL DISBILITIES CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANENYE
Authorized Official - Middle Name:PROMISE
Authorized Official - Last Name:ALOZIEM
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-NP
Authorized Official - Phone:402-968-4786
Mailing Address - Street 1:14470 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4133
Mailing Address - Country:US
Mailing Address - Phone:402-968-4786
Mailing Address - Fax:
Practice Address - Street 1:3610 DODGE ST STE 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3218
Practice Address - Country:US
Practice Address - Phone:402-968-4786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities