Healthcare Provider Details

I. General information

NPI: 1144090085
Provider Name (Legal Business Name): MARY FRANCES FAITH AND HOPE HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 OHIO AVE
CINCINNATI OH
45202-4919
US

IV. Provider business mailing address

9325 YELLOWWOOD DR
CINCINNATI OH
45251-1952
US

V. Phone/Fax

Practice location:
  • Phone: 513-418-8190
  • Fax:
Mailing address:
  • Phone: 513-418-8190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELENLAMOR LEWIS
Title or Position: OWNER
Credential:
Phone: 513-253-3936