Provider Demographics
NPI:1295031326
Name:DEVINE HOPE LLC
Entity Type:Organization
Organization Name:DEVINE HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHIMERE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-323-8786
Mailing Address - Street 1:2242 S HAMILTON RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4300
Mailing Address - Country:US
Mailing Address - Phone:614-323-8786
Mailing Address - Fax:614-323-8786
Practice Address - Street 1:2242 S HAMILTON RD
Practice Address - Street 2:SUITE 206
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4300
Practice Address - Country:US
Practice Address - Phone:614-323-8786
Practice Address - Fax:614-323-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health