Healthcare Provider Details

I. General information

NPI: 1780492108
Provider Name (Legal Business Name): HEALING AND HOPE HOME HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 HAVERFORD CT
HAMPTON VA
23666-5759
US

IV. Provider business mailing address

154 HAVERFORD CT
HAMPTON VA
23666-5759
US

V. Phone/Fax

Practice location:
  • Phone: 757-416-2568
  • Fax:
Mailing address:
  • Phone: 757-416-2568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANIQUA DICKENS
Title or Position: OWNER
Credential: RN
Phone: 757-416-2568