Healthcare Provider Details

I. General information

NPI: 1316266240
Provider Name (Legal Business Name): HOPE AND COMPASSION NURSING AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 05/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 LOCH RAVEN BLVD APT 401
BALTIMORE MD
21239-2009
US

IV. Provider business mailing address

6101 LOCH RAVEN BLVD APT 401
BALTIMORE MD
21239-2009
US

V. Phone/Fax

Practice location:
  • Phone: 240-305-3556
  • Fax:
Mailing address:
  • Phone: 240-305-3556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR188649
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberR185629
License Number StateMD

VIII. Authorized Official

Name: MR. LINUS NJI MUBUIFOR
Title or Position: BOARD CHAIRMAN
Credential: REGISTERED NURSE
Phone: 240-305-3556