Healthcare Provider Details

I. General information

NPI: 1295378735
Provider Name (Legal Business Name): FOUNDATION OF HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N BROWN ST
CHADBOURN NC
28431-1720
US

IV. Provider business mailing address

300 N BROWN ST
CHADBOURN NC
28431-1720
US

V. Phone/Fax

Practice location:
  • Phone: 910-516-2072
  • Fax: 910-516-2282
Mailing address:
  • Phone: 910-516-2072
  • Fax: 910-516-2282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES WASHINGTON
Title or Position: CEO/PRESIDENT
Credential:
Phone: 704-942-8350