Healthcare Provider Details
I. General information
NPI: 1831653880
Provider Name (Legal Business Name): BEST RAY OF HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SPRING HILL RD STE 240
VIENNA VA
22182-2229
US
IV. Provider business mailing address
1600 SPRING HILL RD STE 240
VIENNA VA
22182-2229
US
V. Phone/Fax
- Phone: 571-306-3171
- Fax:
- Phone: 571-306-3171
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICARDO
DRUMMOND
Title or Position: COORDINATOR
Credential:
Phone: 571-306-3171