Healthcare Provider Details

I. General information

NPI: 1477559847
Provider Name (Legal Business Name): OUR LADY OF HOPE HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 N GAYTON RD
RICHMOND VA
23233
US

IV. Provider business mailing address

13700 N GAYTON RD
RICHMOND VA
23233
US

V. Phone/Fax

Practice location:
  • Phone: 804-360-1960
  • Fax: 804-364-0737
Mailing address:
  • Phone: 804-360-1960
  • Fax: 804-364-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2648
License Number StateVA

VIII. Authorized Official

Name: DARLENE ASHLEY
Title or Position: BOM
Credential:
Phone: 804-360-1960