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NPI 1780492108

NPI 1780492108 : HEALING AND HOPE HOME HEALTHCARE AGENCY LLC : HAMPTON, VA

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General NPI Number Information
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    NPI Number           |    1780492108
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING AND HOPE HOME HEALTHCARE AGENCY LLC 
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Dates
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    Enumeration Date     |    12/19/2024
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    154 HAVERFORD CT 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23666-5759
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    Country              |    US
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    Telephone            |    757-416-2568
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    154 HAVERFORD CT 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23666-5759
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    Country              |    US
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    Telephone            |    757-416-2568
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHANIQUA  DICKENS 
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    Credential           |    RN
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    Telephone            |    757-416-2568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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