Provider Demographics
NPI:1952915811
Name:MAMIES HOUSE OF HOPE
Entity Type:Organization
Organization Name:MAMIES HOUSE OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-709-6722
Mailing Address - Street 1:2807 ALYSHEBA CT
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-5050
Mailing Address - Country:US
Mailing Address - Phone:513-709-6722
Mailing Address - Fax:
Practice Address - Street 1:3444 PRICE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1855
Practice Address - Country:US
Practice Address - Phone:513-400-4934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health