Healthcare Provider Details

I. General information

NPI: 1902513849
Provider Name (Legal Business Name): HOPE HEALTH PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E GERMAN SCHOOL RD
RICHMOND VA
23224-1460
US

IV. Provider business mailing address

1419 TURNMILL DR
NORTH CHESTERFIELD VA
23235-5566
US

V. Phone/Fax

Practice location:
  • Phone: 804-502-1886
  • Fax:
Mailing address:
  • Phone: 804-218-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: JERAMIN CORDOR
Title or Position: CEO
Credential:
Phone: 804-502-1886