Healthcare Provider Details

I. General information

NPI: 1770071664
Provider Name (Legal Business Name): HOPELINK HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2018
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 WOODLAKE DR
SILVER SPRING MD
20904-4671
US

IV. Provider business mailing address

3511 WOODLAKE DR
SILVER SPRING MD
20904-4671
US

V. Phone/Fax

Practice location:
  • Phone: 240-505-9041
  • Fax:
Mailing address:
  • Phone: 240-505-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR14103
License Number StateMD

VIII. Authorized Official

Name: BAGUIMA BAYALA
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 240-481-9368