MEDICARE: H.O.P.E. WORKS 2 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1629894209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H.O.P.E. WORKS 2 LLC

Provider Business Mailing Address
First Line	:	2891 CLEVELAND BLVD
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44052-2411
Country	:	US
Telephone Number	:	440-935-1790
Fax Number	:

Provider Business Practice Location Address
First Line	:	2891 CLEVELAND BLVD
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44052-2411
Country	:	US
Telephone Number	:	440-935-1790
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	MR. JOSPEPH ROBERT TKACH
Credential	:	MPA, RN
Telephone Number	:	440-935-1790

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	11/27/2024

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