Organization
FORT OF HOPE LLC
Active
Organization
FORT OF HOPE LLC
Active
Parent organization
MEDCARE PEDIATRIC GROUP, LP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCARE PEDIATRIC GROUP, LP
Authorized official
PAIGE KINKADE (MANAGING MEMBER)
(713) 875-7435
Entity
Organization
Contact information
Practice address
5095 PRESTON AVE, PASADENA, TX 77505-2053
(713) 875-7435
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 875-7435
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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