Provider Demographics
NPI:1962034264
Name:FIRST HOPE HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:FIRST HOPE HOME HEALTHCARE AGENCY
Other - Org Name:FIRST HOPE HOME HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIUS
Authorized Official - Middle Name:M
Authorized Official - Last Name:EJIKEME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-683-0625
Mailing Address - Street 1:634 STREAMWATER DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-7120
Mailing Address - Country:US
Mailing Address - Phone:832-683-0625
Mailing Address - Fax:
Practice Address - Street 1:634 STREAMWATER DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-7120
Practice Address - Country:US
Practice Address - Phone:832-683-0625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty
Yes251E00000XAgenciesHome HealthGroup - Single Specialty