Healthcare Provider Details

I. General information

NPI: 1376383208
Provider Name (Legal Business Name): HOPE HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4406 TOSH LANE CHESTER VA 23831
CHESTER VA
23831
US

IV. Provider business mailing address

4406 TOSH LN
CHESTER VA
23831-6856
US

V. Phone/Fax

Practice location:
  • Phone: 804-896-4287
  • Fax: 804-533-1114
Mailing address:
  • Phone: 804-896-4287
  • Fax: 804-533-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN RENE SIMON
Title or Position: PRESIDENT
Credential:
Phone: 804-896-4287