Provider Demographics
NPI:1679837678
Name:HOPEWELL HEALTH CARE INC
Entity Type:Organization
Organization Name:HOPEWELL HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUDEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-326-2960
Mailing Address - Street 1:8910 W 192ND ST
Mailing Address - Street 2:SUITE N
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8110
Mailing Address - Country:US
Mailing Address - Phone:708-326-2960
Mailing Address - Fax:
Practice Address - Street 1:8910 W 192ND ST
Practice Address - Street 2:SUITE N
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8110
Practice Address - Country:US
Practice Address - Phone:708-326-2960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011516251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health