Provider Demographics
NPI:1336770023
Name:RENEWED HOPE INC
Entity Type:Organization
Organization Name:RENEWED HOPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AZAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AFON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-581-0148
Mailing Address - Street 1:1424 AMPHIBIAN DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1424 AMPHIBIAN DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5904
Practice Address - Country:US
Practice Address - Phone:240-581-0148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health