Healthcare Provider Details

I. General information

NPI: 1841989167
Provider Name (Legal Business Name): ARRAY OF HOPE HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7048 KNIGHTDALE BLVD STE 220C
KNIGHTDALE NC
27545-8894
US

IV. Provider business mailing address

1557 BOBBITT DR
KNIGHTDALE NC
27545-9685
US

V. Phone/Fax

Practice location:
  • Phone: 919-944-3130
  • Fax:
Mailing address:
  • Phone: 919-455-6532
  • Fax: 919-944-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON VICTORIA HARTZOG
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 919-455-6532