| Hope Health Systems, Inc | |
|
6707 Whitestone Rd Suite 106 Baltimore MD 21207-4106 | |
| (410) 265-8737 | |
| (410) 265-1258 |
| Full Name | Hope Health Systems, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6707 Whitestone Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Olanrele Oladipo Fadiora (ACCOUNT EXECUTIVE) |
| Authorized Official Contact | 4438657549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Health Systems, Inc 6707 Whitestone Rd Suite 106 Baltimore MD 21207-4140 Ph: (410) 265-8737 | Hope Health Systems, Inc 6707 Whitestone Rd Suite 106 Baltimore MD 21207-4106 Ph: (410) 265-8737 |
| NPI Number | 1053445171 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 3678749959 |
|---|---|
| Medicare Enrollment ID | O20200513000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053445171 | NPI | - | NPPES |
| 222000800 | Medicaid | MD | |
| 214505700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mercy O Fadoju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962671313 PECOS PAC ID: 3173693645 Enrollment ID: I20080610000613 |
| Provider Name | Jonathan Shepherd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902096050 PECOS PAC ID: 8820169964 Enrollment ID: I20101129000112 |
| Provider Name | Maureen Hulse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811391931 PECOS PAC ID: 9032331566 Enrollment ID: I20141117000984 |
| Provider Name | Annelle B Primm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841237252 PECOS PAC ID: 3577879360 Enrollment ID: I20160620002148 |
| Provider Name | Ifeoluwa Oyefeso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598241002 PECOS PAC ID: 0042546772 Enrollment ID: I20190801002385 |
| Provider Name | Tymeka D. Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053731240 PECOS PAC ID: 1052730769 Enrollment ID: I20200930000990 |
| Provider Name | Bridgit Colleen Lacy-wolak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629532288 PECOS PAC ID: 2961893334 Enrollment ID: I20211217001685 |
| Provider Name | Olayemi Ayilegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249025 PECOS PAC ID: 7719379577 Enrollment ID: I20220128000400 |
| Provider Name | Jordan Mcgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477219996 PECOS PAC ID: 4688067846 Enrollment ID: I20220210001747 |
| Provider Name | Ruth Y Dottin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841721081 PECOS PAC ID: 4789959461 Enrollment ID: I20220215002701 |
| Provider Name | Jessica Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184034019 PECOS PAC ID: 1355735051 Enrollment ID: I20220223000385 |
| Provider Name | Christopher Anthony Define |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629314919 PECOS PAC ID: 6406240969 Enrollment ID: I20220225001347 |
| Provider Name | April Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255613279 PECOS PAC ID: 0244618932 Enrollment ID: I20220608003157 |
| Provider Name | Minette G. Rilloraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306430475 PECOS PAC ID: 8527446137 Enrollment ID: I20220609000578 |
| Provider Name | Cassandra Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700546223 PECOS PAC ID: 7810366887 Enrollment ID: I20221214000199 |
| Provider Name | Colleen Felix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831320530 PECOS PAC ID: 6709225600 Enrollment ID: I20240411001697 |
| Provider Name | Lisa Kay Colona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366292831 PECOS PAC ID: 0345689196 Enrollment ID: I20240412003907 |
| Provider Name | Ranette Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093407090 PECOS PAC ID: 1153760921 Enrollment ID: I20240416000342 |
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