Healthcare Provider Details

I. General information

NPI: 1700565470
Provider Name (Legal Business Name): HOPE AND RECOVERY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14841 CHRYSLER CT
WOODBRIDGE VA
22193-5365
US

IV. Provider business mailing address

14841 CHRYSLER CT
WOODBRIDGE VA
22193-5365
US

V. Phone/Fax

Practice location:
  • Phone: 571-800-0446
  • Fax: 571-556-8008
Mailing address:
  • Phone: 571-800-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: KAREN SHARON WALTERS
Title or Position: CEO
Credential:
Phone: 540-805-0163