Provider Demographics
NPI:1902170764
Name:HOPE HOME CARE, LLC
Entity Type:Organization
Organization Name:HOPE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MULLIKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-294-2273
Mailing Address - Street 1:3615 NEWMARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5430
Mailing Address - Country:US
Mailing Address - Phone:937-294-2273
Mailing Address - Fax:937-294-5445
Practice Address - Street 1:3615 NEWMARK DRIVE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5430
Practice Address - Country:US
Practice Address - Phone:937-294-2273
Practice Address - Fax:937-294-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-26
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health