Healthcare Provider Details

I. General information

NPI: 1508701707
Provider Name (Legal Business Name): HOPE HARBOR HOME LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 FURROW ST
BALTIMORE MD
21223-2849
US

IV. Provider business mailing address

306 MOUNTAIN RIDGE CT APT A
GLEN BURNIE MD
21061-1304
US

V. Phone/Fax

Practice location:
  • Phone: 202-580-3209
  • Fax:
Mailing address:
  • Phone: 202-580-3209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: PROF. STEPHEN JONATHAN WASHINGTON SR.
Title or Position: PRESIDENT/ OFFICIER
Credential: WASHINGTON
Phone: 202-580-3209