MEDICARE: HOPE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service

General Provider Information

NPI Number	:	1497002851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CARE LLC

Provider Business Mailing Address
First Line	:	4413 3RD ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4413 3RD ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7317
Country	:	US
Telephone Number	:	571-436-4869
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BENEDICT O UGOEZE
Credential	:
Telephone Number	:	571-436-4869

Provider Enumeration Date	:	08/04/2012
Last Update Date	:	08/04/2012

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Directions to “HOPE CARE LLC ” Practice Location

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