MEDICARE: MISSION OF HOPE OF TALLAHASSEE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251X00000X	Supports Brokerage Agency
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	376K00000X	Nurse's Aide
5	251J00000X	Nursing Care Agency
6	376J00000X	Homemaker

General Provider Information

NPI Number	:	1861981052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION OF HOPE OF TALLAHASSEE, INC

Provider Business Mailing Address
First Line	:	1541 GLENWAY DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301
Country	:	US
Telephone Number	:	850-322-4589
Fax Number	:	229-236-0629

Provider Business Practice Location Address
First Line	:	1541 GLENWAY DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301
Country	:	US
Telephone Number	:	850-322-4589
Fax Number	:	229-236-0629

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NANCY VICKERS-ADJEI
Credential	:
Telephone Number	:	850-322-4589

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	12/12/2025

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