MEDICARE: HOPE CONSULTATION 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548192081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CONSULTATION LLC

Provider Business Mailing Address
First Line	:	719 COACHMAN DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-1531
Country	:	US
Telephone Number	:	248-991-4091
Fax Number	:

Provider Business Practice Location Address
First Line	:	719 COACHMAN DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-1531
Country	:	US
Telephone Number	:	248-991-4091
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIAM BODAGH
Credential	:
Telephone Number	:	248-991-4091

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “HOPE CONSULTATION LLC ” Practice Location

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