Provider Demographics
NPI:1750628863
Name:HOPEBRIDGE HOSPICE, LLC
Entity Type:Organization
Organization Name:HOPEBRIDGE HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-562-6171
Mailing Address - Street 1:33610 SOLON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2951
Mailing Address - Country:US
Mailing Address - Phone:440-519-9277
Mailing Address - Fax:
Practice Address - Street 1:33610 SOLON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2951
Practice Address - Country:US
Practice Address - Phone:440-519-9277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based