MEDICARE: GOOD HOPE CARE 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1780782029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HOPE CARE SERVICES

Provider Business Mailing Address
First Line	:	12380 W BELLFORT AVE
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77099-4826
Country	:	US
Telephone Number	:	832-955-5983
Fax Number	:	281-417-0025

Provider Business Practice Location Address
First Line	:	12380 W BELLFORT AVE
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77099-4826
Country	:	US
Telephone Number	:	832-955-5983
Fax Number	:	281-417-0025

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EMMANUEL UZOMA OHERI
Credential	:
Telephone Number	:	832-955-5983

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/20/2014

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Directions to “GOOD HOPE CARE SERVICES ” Practice Location

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