Healthcare Provider Details

I. General information

NPI: 1992098545
Provider Name (Legal Business Name): HANDS OF HOPE HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 10/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6629 RED MAPLE DR
MOBILE AL
36618-4831
US

IV. Provider business mailing address

6629 RED MAPLE DR
MOBILE AL
36618-4831
US

V. Phone/Fax

Practice location:
  • Phone: 251-639-5214
  • Fax: 251-447-2267
Mailing address:
  • Phone: 251-639-5214
  • Fax: 251-447-2267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1059384
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number1059384
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number1059384
License Number StateAL

VIII. Authorized Official

Name: MRS. CYNTHIA WASHINTON
Title or Position: CEO
Credential: CRNP
Phone: 251-639-5214