MEDICARE: HOPE HEALTH SYSTEMS, INC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1629613856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HEALTH SYSTEMS, INC

Provider Business Mailing Address
First Line	:	PO BOX 47518
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-0518
Country	:	US
Telephone Number	:	443-865-7549
Fax Number	:	410-265-1258

Provider Business Practice Location Address
First Line	:	1726 WHITEHEAD RD
Second Line	:
City	:	WOODLAWN
State	:	MD
Zip	:	21207-4003
Country	:	US
Telephone Number	:	410-265-8737
Fax Number	:	410-265-1258

Authorized Official
Title or Position	:	CFO
Name	:	OLANRELE FADIORA JR.
Credential	:
Telephone Number	:	443-663-4400

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	11/20/2020

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Directions to “HOPE HEALTH SYSTEMS, INC ” Practice Location

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