Provider Demographics
NPI:1972013514
Name:LIVING HOPE HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:LIVING HOPE HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ODUNAYO
Authorized Official - Middle Name:O
Authorized Official - Last Name:AKANGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-755-3200
Mailing Address - Street 1:7661 BLUFF POINT LN
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7918
Mailing Address - Country:US
Mailing Address - Phone:240-755-3200
Mailing Address - Fax:240-356-5650
Practice Address - Street 1:7661 BLUFF POINT LN
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-7918
Practice Address - Country:US
Practice Address - Phone:240-755-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR4059P374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty