Basic Information
| Provider Information | |||||||||
| NPI: | 1760423107 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOSPICE OF HOPE, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HOSPICE OF HOPE OHIO VALLEY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 909 KENTON STATION DR | ||||||||
| Address2: | |||||||||
| City: | MAYSVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410569616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6067594050 | ||||||||
| FaxNumber: | 6067591207 | ||||||||
| Practice Location | |||||||||
| Address1: | 215 HUGHES BOULEVARD | ||||||||
| Address2: | |||||||||
| City: | MT ORAB | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451541407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374444900 | ||||||||
| FaxNumber: | 9374444966 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 01/29/2021 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | TROVATO | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6067594050 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | 0102-HSP | OH | Y | Agencies | Hospice Care, Community Based |
ID Information
| ID | Type | State | Issuer | Description | 0138550 | 05 | OH | MEDICAID |