Healthcare Provider Details

I. General information

NPI: 1801415518
Provider Name (Legal Business Name): HOPE HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 SHREYA ST
EL PASO TX
79938-4662
US

IV. Provider business mailing address

1408 GRANTLEIGH RD
SOUTH EUCLID OH
44121-2508
US

V. Phone/Fax

Practice location:
  • Phone: 216-394-3329
  • Fax:
Mailing address:
  • Phone: 216-394-3329
  • 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 Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: KENNETH K EKECHUKWU JR.
Title or Position: CEO/OWNER
Credential: ENGR
Phone: 216-394-3329