Healthcare Provider Details

I. General information

NPI: 1972368538
Provider Name (Legal Business Name): HOPE HOME HEALTHCARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 JAVIER RD STE 104A
FAIRFAX VA
22031-4646
US

IV. Provider business mailing address

3022 JAVIER RD STE 104A
FAIRFAX VA
22031-4646
US

V. Phone/Fax

Practice location:
  • Phone: 703-964-1940
  • Fax: 703-964-1941
Mailing address:
  • Phone: 703-964-1940
  • Fax: 703-964-1941

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PAULINE SHARPER
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-964-1940