Provider Demographics
NPI:1144059585
Name:HOPE ISLAND LLC
Entity type:Organization
Organization Name:HOPE ISLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MWAMINI
Authorized Official - Middle Name:
Authorized Official - Last Name:BENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-515-8815
Mailing Address - Street 1:8005 CREST ACRES DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8005 CREST ACRES DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9613
Practice Address - Country:US
Practice Address - Phone:513-515-8815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care