# HOPE MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639178767
- **Authorized official:** JERRI L COLOMBINI (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (559) 268-5361

## Contact information

- **Practice address:** 1665 M STREET, FRESNO, CA 93721
- **Practice address phone:** (559) 268-5361
- **Practice address fax:** (559) 268-8228
- **Mailing address:** 1665 M STREET, FRESNO, CA 93721
- **Mailing address phone:** (559) 268-5361
- **Mailing address fax:** (559) 268-8228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040000200 | CA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0610935 | — | CA |
| 05 | — | ZZRO5626G | — | CA |
