Healthcare Provider Details

I. General information

NPI: 1326790361
Provider Name (Legal Business Name): HANDS OF HOPE HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MATHEWSON PL SW
ATLANTA GA
30314-2631
US

IV. Provider business mailing address

175 MATHEWSON PL SW
ATLANTA GA
30314-2631
US

V. Phone/Fax

Practice location:
  • Phone: 678-539-0983
  • Fax: 678-539-0983
Mailing address:
  • Phone: 678-539-0983
  • Fax: 678-539-0983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONTE ARMSTRONG
Title or Position: OWNER
Credential:
Phone: 404-914-6490