Provider Demographics
NPI:1790310217
Name:HOPE PROVIDERS HEALTH SERVICES
Entity Type:Organization
Organization Name:HOPE PROVIDERS HEALTH SERVICES
Other - Org Name:HOPE PROVIDERS HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:OHENE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP
Authorized Official - Phone:614-230-9988
Mailing Address - Street 1:924 EASTWIND DR STE 7
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3329
Mailing Address - Country:US
Mailing Address - Phone:614-680-0477
Mailing Address - Fax:614-412-1318
Practice Address - Street 1:924 EASTWIND DR STE 7
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3329
Practice Address - Country:US
Practice Address - Phone:614-680-0477
Practice Address - Fax:614-412-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0402533Medicaid
OH1073007126OtherNPI