Healthcare Provider Details

I. General information

NPI: 1538045190
Provider Name (Legal Business Name): HEARTS OF HOPE HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 CHURCH ST STE 317
NEW HAVEN CT
06510-2001
US

IV. Provider business mailing address

64 DEST DR
HAMDEN CT
06518-2437
US

V. Phone/Fax

Practice location:
  • Phone: 203-808-3325
  • Fax: 203-808-3325
Mailing address:
  • Phone: 203-808-3325
  • Fax: 203-808-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EMMANUEL BAKWOWI
Title or Position: MANAGING DIRECTOR
Credential: CEO
Phone: 203-808-3325