Healthcare Provider Details

I. General information

NPI: 1134042021
Provider Name (Legal Business Name): RENEW HOPE HEALTH AND HOUSING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 FIRST LIGHT CT
ROSEDALE MD
21237-2186
US

IV. Provider business mailing address

2804 KILDAIRE DR
BALTIMORE MD
21234-7637
US

V. Phone/Fax

Practice location:
  • Phone: 404-567-0068
  • Fax:
Mailing address:
  • Phone: 404-567-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. AYOOLA OGUN
Title or Position: CEO
Credential:
Phone: 404-567-0068