Healthcare Provider Details

I. General information

NPI: 1003751058
Provider Name (Legal Business Name): HAVEN OF HOPE COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ARBOR SPRING CT
BROWNS SUMMIT NC
27214-9099
US

IV. Provider business mailing address

3 ARBOR SPRING CT
BROWNS SUMMIT NC
27214-9099
US

V. Phone/Fax

Practice location:
  • Phone: 336-442-9237
  • Fax:
Mailing address:
  • Phone: 336-442-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LETOSHIA THOMPSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 336-442-9237