Provider Demographics
NPI:1033814686
Name:LIVNG HOPE HOMECARE LLC
Entity Type:Organization
Organization Name:LIVNG HOPE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYIRASHOMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-806-2592
Mailing Address - Street 1:4301 NAPA VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-1567
Mailing Address - Country:US
Mailing Address - Phone:434-806-2592
Mailing Address - Fax:
Practice Address - Street 1:4301 NAPA VALLEY DR
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-1567
Practice Address - Country:US
Practice Address - Phone:434-806-2592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care