Provider Demographics
NPI:1326463928
Name:HOPETREE CARE, LLC
Entity Type:Organization
Organization Name:HOPETREE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-785-0814
Mailing Address - Street 1:9277 CENTRE POINTE DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4844
Mailing Address - Country:US
Mailing Address - Phone:513-785-0814
Mailing Address - Fax:513-766-7451
Practice Address - Street 1:9277 CENTRE POINTE DR
Practice Address - Street 2:SUITE 350
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4844
Practice Address - Country:US
Practice Address - Phone:513-785-0814
Practice Address - Fax:513-766-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0903802251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0081758Medicaid