Healthcare Provider Details

I. General information

NPI: 1356059851
Provider Name (Legal Business Name): HIGH HOPES IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 DECATUR RD
STAFFORD VA
22554-2822
US

IV. Provider business mailing address

515 DECATUR RD
STAFFORD VA
22554-2822
US

V. Phone/Fax

Practice location:
  • Phone: 540-212-4115
  • Fax:
Mailing address:
  • Phone: 540-212-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KEITH HOPE
Title or Position: CEO
Credential: QDDP, QMHP
Phone: 540-212-4115