MEDICARE: DEVINE HOPE 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

General Provider Information

NPI Number	:	1295031326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVINE HOPE LLC

Provider Business Mailing Address
First Line	:	2242 S HAMILTON RD
Second Line	:	SUITE 206
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4300
Country	:	US
Telephone Number	:	614-323-8786
Fax Number	:	614-323-8786

Provider Business Practice Location Address
First Line	:	2242 S HAMILTON RD
Second Line	:	SUITE 206
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4300
Country	:	US
Telephone Number	:	614-323-8786
Fax Number	:	614-323-8786

Authorized Official
Title or Position	:	CEO
Name	:	MS. CHIMERE HOLLOWAY
Credential	:
Telephone Number	:	614-323-8786

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	02/14/2011

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Directions to “DEVINE HOPE LLC ” Practice Location

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