Healthcare Provider Details

I. General information

NPI: 1629703806
Provider Name (Legal Business Name): BRINGING HOPE COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HARFORD RD FL 1 STE 2
PARKVILLE MD
21234
US

IV. Provider business mailing address

7500 HARFORD RD FL 1 STE 2
PARKVILLE MD
21234
US

V. Phone/Fax

Practice location:
  • Phone: 410-999-1937
  • Fax: 410-498-5714
Mailing address:
  • Phone: 410-999-1937
  • Fax: 410-498-5714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENGNI DJIOGO
Title or Position: PROGRAM DIRECTOR
Credential: MPH
Phone: 443-720-9482