Provider Demographics
NPI:1114481405
Name:HOPEHEALTH LTD
Entity Type:Organization
Organization Name:HOPEHEALTH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MACDONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUBAGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-216-1085
Mailing Address - Street 1:77 E WILSON BRIDGE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2324
Mailing Address - Country:US
Mailing Address - Phone:614-505-9558
Mailing Address - Fax:614-610-1602
Practice Address - Street 1:77 E WILSON BRIDGE RD STE 105
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2324
Practice Address - Country:US
Practice Address - Phone:614-216-1085
Practice Address - Fax:614-610-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369231Medicaid