Provider Demographics
NPI:1568991966
Name:HOPEWELL IN-HOME CARE LLC
Entity Type:Organization
Organization Name:HOPEWELL IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:N
Authorized Official - Last Name:UIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-269-7499
Mailing Address - Street 1:455 OLIAN DR
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1409
Mailing Address - Country:US
Mailing Address - Phone:314-269-7499
Mailing Address - Fax:
Practice Address - Street 1:455 OLIAN DR.
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1409
Practice Address - Country:US
Practice Address - Phone:314-269-7499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014009208251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health