| Details | Last Recertification Date | Update | Recertification | 2/1/2024 3:26:51 PM | 2/18/2025 12:47:25 PM | 2/18/2025 12:47 PM |
| Details | Last Recertification Date | Update | Recertification | 2/15/2023 4:24:47 PM | 2/1/2024 3:26:51 PM | 2/1/2024 3:26 PM |
| Addresses | Main Address | Update | Recertification |
6800 West Loop South
Suite 560
Bellaire, TX 77401-4516 |
6800 West Loop S Ste 560
Bellaire, TX 77401 | 2/15/2023 4:24 PM |
| Details | Last Recertification Date | Update | Recertification | 2/9/2022 10:40:20 AM | 2/15/2023 4:24:47 PM | 2/15/2023 4:24 PM |
| Details | Last Recertification Date | Update | Recertification | 2/16/2021 11:22:28 AM | 2/9/2022 10:40:20 AM | 2/9/2022 10:40 AM |
| Addresses | Shipping Address | Insert | Recertification | | St. Hope Pharmacy
6800 West Loop South
Suite 590
Bellaire, TX 77401-4516 | 2/16/2021 11:22 AM |
| Details | Last Recertification Date | Update | Recertification | 2/14/2020 2:08:06 PM | 2/16/2021 11:22:28 AM | 2/16/2021 11:22 AM |
| Contacts | Primary Contact | Update | Change Request | Lyles, Sharon
Director of Finance
St. Hope Foundation, Inc
7137781300-2351 | Badawi, Nourhane
Chief Pharmacy Officer
St. Hope Foundation, Inc
7137781300 | 11/16/2020 12:14 PM |
| Addresses | Main Address | Update | Change Request |
6800 West Loop South #560
Bellaire, TX 77401-4516 |
6800 West Loop South
Suite 560
Bellaire, TX 77401-4516 | 7/22/2020 11:58 AM |
| Details | Last Recertification Date | Update | Recertification | 2/22/2019 8:07:13 AM | 2/14/2020 2:08:06 PM | 2/14/2020 2:08 PM |
| Details | Last Recertification Date | Update | Recertification | 3/5/2018 6:51:37 PM | 2/22/2019 8:07:13 AM | 2/22/2019 8:07 AM |
| Contacts | Primary Contact | Update | Recertification | Sam-Cooper, Timika
Chief Operations Officer
St. Hope Foundation
7137781300-2342 | Lyles, Sharon
Director of Finance
St. Hope Foundation, Inc
7137781300-2351 | 3/5/2018 6:51 PM |
| Details | Last Recertification Date | Update | Recertification | | 3/5/2018 6:51:37 PM | 3/5/2018 6:51 PM |
| Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 3/5/2018 6:51 PM |
| Contacts | Authorizing Official | Update | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | Sam-Cooper, Timika
Chief Operations Officer
St. Hope Foundation
7137781300-2342 | 2/20/2018 8:01 PM |
| Contacts | Primary Contact | Update | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | Sam-Cooper, Timika
Chief Operations Officer
St. Hope Foundation
7137781300-2342 | 2/20/2018 8:01 PM |
| Contacts | Signed By | Update | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | Sam-Cooper, Timika
Chief Operations Officer
St. Hope Foundation
7137781300-2342 | 2/20/2018 8:01 PM |
| Addresses | Main Address | Insert | | |
6800 West Loop South #560
Bellaire, TX 77401-4516 | 5/15/2017 6:06 PM |
| Contacts | Authorizing Official | Insert | | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | 5/15/2017 6:06 PM |
| Contacts | Primary Contact | Insert | | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | 5/15/2017 6:06 PM |
| Contacts | Signed By | Insert | | | Sam-Cooper, Timika
Chief Operations Officer
7137781300-2342 | 5/15/2017 6:06 PM |
| Dates | Participating Approval Date | Update | | | 4/18/2017 12:00:00 AM | 4/18/2017 4:51 PM |
| Details | State | Update | | Pending | Active | 4/18/2017 4:51 PM |
| Dates | Start Date | Update | | | 7/1/2017 12:00:00 AM | 4/18/2017 4:51 PM |
| Details | 340B ID | Update | | ONLINE_REG_76012 | CHC26587-02 | 4/6/2017 7:58 AM |
| Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_76012 | 4/5/2017 3:15 PM |
| Details | Last Recertification Date | Insert | | | | 4/5/2017 3:15 PM |
| Details | Grant Number | Insert | | | H80CS26587 | 4/5/2017 3:15 PM |
| Details | 340B ID | Insert | | | ONLINE_REG | 4/5/2017 3:15 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | False | 4/5/2017 3:15 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/5/2017 3:15 PM |
| Details | Medicare Provider Number | Insert | | | | 4/5/2017 3:15 PM |
| Details | Entity Name | Insert | | | SAINT HOPE FOUNDATION | 4/5/2017 3:15 PM |
| Details | Program Code | Insert | | | CH | 4/5/2017 3:15 PM |
| Details | Entity Subname | Insert | | | St. Hope Community Health Clinic- Bellaire | 4/5/2017 3:15 PM |
| Dates | Participating Approval Date | Insert | | | | 4/5/2017 3:15 PM |
| Details | State | Insert | | | Pending | 4/5/2017 3:15 PM |
| Dates | Registration Date | Insert | | | 4/5/2017 12:00:00 AM | 4/5/2017 3:15 PM |
| Dates | Signed By Date | Insert | | | 4/5/2017 12:00:00 AM | 4/5/2017 3:15 PM |
| Dates | Start Date | Insert | | | | 4/5/2017 3:15 PM |
| Terminations | Termination Comments | Insert | | | | 4/5/2017 3:15 PM |
| Terminations | Termination Date | Insert | | | | 4/5/2017 3:15 PM |
| Terminations | Termination Effective Date | Insert | | | | 4/5/2017 3:15 PM |
| Terminations | Termination Reason | Insert | | | | 4/5/2017 3:15 PM |