Healthcare Provider Details

I. General information

NPI: 1902170764
Provider Name (Legal Business Name): HOPE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2012
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 CONGRESS PARK DR STE A
DAYTON OH
45459-4098
US

IV. Provider business mailing address

925 CONGRESS PARK DR STE A
DAYTON OH
45459-4098
US

V. Phone/Fax

Practice location:
  • Phone: 937-294-2273
  • Fax: 937-294-5445
Mailing address:
  • Phone: 937-294-2273
  • Fax: 937-294-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON B GROWE
Title or Position: CDO
Credential:
Phone: 314-440-3453