Provider Demographics
NPI:1396129854
Name:HOPE HEALTH AND RECOVERY HEALTHCARE SERVICES
Entity type:Organization
Organization Name:HOPE HEALTH AND RECOVERY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE-HEISEL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APR, PMHCNS-BC,
Authorized Official - Phone:513-368-5493
Mailing Address - Street 1:7723 TYLERS PLACE BLVD
Mailing Address - Street 2:#151
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4684
Mailing Address - Country:US
Mailing Address - Phone:513-368-5493
Mailing Address - Fax:513-759-1567
Practice Address - Street 1:9435 WATERSTONE BLVD
Practice Address - Street 2:#140
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8226
Practice Address - Country:US
Practice Address - Phone:513-368-5493
Practice Address - Fax:513-759-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN153968-1251S00000X
OHRN153968163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0149534Medicaid
OHH440380Medicare UPIN