Organization
HOPEWELL
Active
Parent organization
HOPEWELL
Other names
Hopewell Inn
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEWELL
Authorized official
DAVID SHUTE (EXECUTIVE DIRECTOR)
(440) 426-2000
Entity
Organization
Contact information
Practice address
9637 STATE ROUTE 534, MIDDLEFIELD, OH 44062-9516
(440) 426-2000
(440) 693-4168
Mailing address
9637 STATE ROUTE 534, MIDDLEFIELD, OH 44062
(440) 426-2000
(440) 426-2002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
488
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2686802
—
OH
01
—
7801301
OHIO DODD
OH
Enumeration date
03/13/2009
Last updated
08/26/2021
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