Provider Demographics
NPI:1043766447
Name:CREATING HOPE
Entity Type:Organization
Organization Name:CREATING HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-489-5393
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:OLD WASHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43768-0253
Mailing Address - Country:US
Mailing Address - Phone:740-489-5393
Mailing Address - Fax:
Practice Address - Street 1:65124 WINTERGREEN RD
Practice Address - Street 2:
Practice Address - City:LORE CITY
Practice Address - State:OH
Practice Address - Zip Code:43755-9713
Practice Address - Country:US
Practice Address - Phone:740-489-5393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHESTS.160794225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty