Healthcare Provider Details

I. General information

NPI: 1396129854
Provider Name (Legal Business Name): HOPE HEALTH AND RECOVERY HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 01/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9435 WATERSTONE BLVD #140
CINCINNATI OH
45249-8226
US

IV. Provider business mailing address

7723 TYLERS PLACE BLVD #151
WEST CHESTER OH
45069-4684
US

V. Phone/Fax

Practice location:
  • Phone: 513-368-5493
  • Fax: 513-759-1567
Mailing address:
  • Phone: 513-368-5493
  • Fax: 513-759-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN153968
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberRN153968-1
License Number StateOH

VIII. Authorized Official

Name: DR. REGINA A WHITE-HEISEL
Title or Position: CEO
Credential: DNP, APR, PMHCNS-BC,
Phone: 513-368-5493