Healthcare Provider Details
I. General information
NPI: 1154037406
Provider Name (Legal Business Name): HOMES4HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
304 WEST CARROLL STREET
SALISBURY MD
21801-5390
US
IV. Provider business mailing address
304 WEST CARROLL STREET
SALISBURY MD
21801-5390
US
V. Phone/Fax
- Phone: 443-359-9830
- Fax:
- Phone: 443-359-9830
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
B
FOOTE
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 443-359-9830