Provider Demographics
NPI:1972848141
Name:FIRST HOPE HOME CARE AGENCY INC.
Entity Type:Organization
Organization Name:FIRST HOPE HOME CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGATHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANOSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-561-4673
Mailing Address - Street 1:1213 VINE ST STE 207
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1111
Mailing Address - Country:US
Mailing Address - Phone:215-561-4673
Mailing Address - Fax:215-561-4670
Practice Address - Street 1:1213 VINE ST STE 207
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1111
Practice Address - Country:US
Practice Address - Phone:215-561-4673
Practice Address - Fax:215-561-4670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04790501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA04790501OtherSTATE OF PENNSYLVANIA