MEDICARE: RENEWED HOPE COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1538019955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED HOPE COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	273 MINEOLA AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7860
Country	:	US
Telephone Number	:	330-786-6527
Fax Number	:	330-786-6527

Provider Business Practice Location Address
First Line	:	839 E MARKET ST STE 106
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-2460
Country	:	US
Telephone Number	:	330-786-6527
Fax Number	:	330-786-6527

Authorized Official
Title or Position	:	CEO/DOO
Name	:	MAR-QUETTA BODDIE
Credential	:
Telephone Number	:	330-786-6527

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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