Healthcare Provider Details

I. General information

NPI: 1548182686
Provider Name (Legal Business Name): MARIE'S HOUSE OF HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 LINWOOD ST
DAYTON OH
45405-4918
US

IV. Provider business mailing address

332 LINWOOD ST
DAYTON OH
45405-4918
US

V. Phone/Fax

Practice location:
  • Phone: 937-529-4946
  • Fax: 937-529-0055
Mailing address:
  • Phone: 937-529-4946
  • Fax: 937-529-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: IRVIN ALONZO MCDONALD
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW, CMS, QMHS
Phone: 937-305-5119