Provider Demographics
NPI:1659075877
Name:FOREVER HOPE AGENCY
Entity Type:Organization
Organization Name:FOREVER HOPE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-209-4491
Mailing Address - Street 1:3115 LONG AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-4918
Mailing Address - Country:US
Mailing Address - Phone:234-458-4912
Mailing Address - Fax:
Practice Address - Street 1:3115 LONG AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-4918
Practice Address - Country:US
Practice Address - Phone:234-458-4912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health