Provider Demographics
NPI:1104196831
Name:DEVINE HOPE HOMECARE, LLC
Entity type:Organization
Organization Name:DEVINE HOPE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PORTER-PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-352-8988
Mailing Address - Street 1:PO BOX 14671
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-4671
Mailing Address - Country:US
Mailing Address - Phone:330-238-8988
Mailing Address - Fax:866-531-4536
Practice Address - Street 1:765 S CLEVE MASS RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3023
Practice Address - Country:US
Practice Address - Phone:330-238-8988
Practice Address - Fax:866-531-4536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health