Healthcare Provider Details

I. General information

NPI: 1588599054
Provider Name (Legal Business Name): COMMUNITY OF HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 CHAMPLAIN ST NW
WASHINGTON DC
20009-2795
US

IV. Provider business mailing address

4 ATLANTIC ST SW
WASHINGTON DC
20032-2350
US

V. Phone/Fax

Practice location:
  • Phone: 202-540-9857
  • Fax: 202-232-8494
Mailing address:
  • Phone: 202-540-9857
  • Fax: 202-232-8494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ANAISI HOWARD
Title or Position: CREDENTIALING LEAD
Credential:
Phone: 667-325-7036