Provider Demographics
NPI:1033814686
Name:LIVNG HOPE HOMECARE LLC
Entity type:Organization
Organization Name:LIVNG HOPE HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYIRASHOMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-806-2592
Mailing Address - Street 1:28 E RAHN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5461
Mailing Address - Country:US
Mailing Address - Phone:434-806-2592
Mailing Address - Fax:937-518-7761
Practice Address - Street 1:28 E RAHN RD STE 202
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-5461
Practice Address - Country:US
Practice Address - Phone:434-806-2592
Practice Address - Fax:937-518-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty