MEDICARE: HOPE GIVERS HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1184073116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE GIVERS HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	5498 CHATFORD SQ
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7017
Country	:	US
Telephone Number	:	614-316-3759
Fax Number	:

Provider Business Practice Location Address
First Line	:	5498 CHATFORD SQ
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7017
Country	:	US
Telephone Number	:	614-316-3759
Fax Number	:

Authorized Official
Title or Position	:	ONE OF THE FOUNDERS
Name	:	WILFRID THIERRY MUICHE
Credential	:
Telephone Number	:	614-632-3528

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	06/09/2016

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