MEDICARE: HOPE HEALTH HOMECARE LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		NA

General Provider Information

NPI Number	:	1245881390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HEALTH HOMECARE LLC

Provider Business Mailing Address
First Line	:	4320 MAYFIELD RD STE 206
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3601
Country	:	US
Telephone Number	:	614-599-5734
Fax Number	:

Provider Business Practice Location Address
First Line	:	25000 EUCLID AVE STE 105
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-2621
Country	:	US
Telephone Number	:	216-539-2712
Fax Number	:	216-539-1440

Authorized Official
Title or Position	:	OWNER
Name	:	KHADAR OSMAN
Credential	:
Telephone Number	:	614-599-5734

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/30/2024

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