Provider Demographics
NPI:1053445171
Name:HOPE HEALTH SYSTEMS, INC
Entity Type:Organization
Organization Name:HOPE HEALTH SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:OLANRELE
Authorized Official - Middle Name:OLADIPO
Authorized Official - Last Name:FADIORA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-865-7549
Mailing Address - Street 1:6707 WHITESTONE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4140
Mailing Address - Country:US
Mailing Address - Phone:410-265-8737
Mailing Address - Fax:410-265-1258
Practice Address - Street 1:6707 WHITESTONE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4106
Practice Address - Country:US
Practice Address - Phone:410-265-8737
Practice Address - Fax:410-265-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD222000800Medicaid
MD214505700Medicaid