Healthcare Provider Details

I. General information

NPI: 1750064184
Provider Name (Legal Business Name): DUTY OF H.O.P.E.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4195 BOWMAN MEADOW DR
CANAL WINCHESTER OH
43110-7844
US

IV. Provider business mailing address

4195 BOWMAN MEADOW DR
CANAL WINCHESTER OH
43110-7844
US

V. Phone/Fax

Practice location:
  • Phone: 409-549-2659
  • Fax:
Mailing address:
  • Phone: 409-549-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKEIMA ROBERTS
Title or Position: OWNER
Credential:
Phone: 409-549-2659