Healthcare Provider Details
I. General information
NPI: 1487931465
Provider Name (Legal Business Name): COMMUNITY OF HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2011
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2120 BLADENSBURG RD NE
WASHINGTON DC
20018-1440
US
IV. Provider business mailing address
4 ATLANTIC ST SW
WASHINGTON DC
20032-2350
US
V. Phone/Fax
- Phone: 202-540-9857
- Fax: 202-232-8494
- Phone: 202-407-3080
- Fax: 202-232-8494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DEREK
SYKES
Title or Position: VP OF FINANCE AND OPERATIONS
Credential:
Phone: 202-407-7747