Provider Demographics
NPI:1356044481
Name:HOPE CARE OF COLUMBUS, LLC
Entity type:Organization
Organization Name:HOPE CARE OF COLUMBUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BENOGO
Authorized Official - Middle Name:B
Authorized Official - Last Name:CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-622-2682
Mailing Address - Street 1:1715 ALONA DR APT 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-4809
Mailing Address - Country:US
Mailing Address - Phone:614-622-2682
Mailing Address - Fax:
Practice Address - Street 1:1715 ALONA DR APT 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4809
Practice Address - Country:US
Practice Address - Phone:614-622-2682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health