Healthcare Provider Details

I. General information

NPI: 1659730034
Provider Name (Legal Business Name): ORGANIZATION OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 GOOD HOPE RD SE STE H
WASHINGTON DC
20020-6907
US

IV. Provider business mailing address

PO BOX 1466
TEMPLE HILLS MD
20757-1466
US

V. Phone/Fax

Practice location:
  • Phone: 443-653-8227
  • Fax:
Mailing address:
  • Phone: 443-653-8227
  • Fax: 240-838-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License NumberZ975002469271
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3DAL3315A
License Number StateMD

VIII. Authorized Official

Name: PATRECIA WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 443-653-8227