Healthcare Provider Details

I. General information

NPI: 1427977875
Provider Name (Legal Business Name): BEACON OF HOPE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14440 CHERRY LANE CT STE 220
LAUREL MD
20707-4946
US

IV. Provider business mailing address

14440 CHERRY LANE CT STE 220
LAUREL MD
20707-4946
US

V. Phone/Fax

Practice location:
  • Phone: 301-541-3244
  • Fax:
Mailing address:
  • Phone: 301-541-3244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BOBRAIYE JENNIFER DUNOBOH
Title or Position: CEO
Credential:
Phone: 202-415-6269