MEDICARE: HOPE FUND INC, MENTAL HEALTH & FAMILY SERVICES

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	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1326754086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE FUND INC, MENTAL HEALTH & FAMILY SERVICES

Provider Business Mailing Address
First Line	:	3613 LEE ROAD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120
Country	:	US
Telephone Number	:	216-615-4392
Fax Number	:

Provider Business Practice Location Address
First Line	:	3613 LEE RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-5108
Country	:	US
Telephone Number	:	216-509-6129
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. TIMOTHY ISAAC SR.
Credential	:
Telephone Number	:	216-509-6129

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	01/19/2024

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