MEDICARE: HOPE AND HEALING HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093600660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE AND HEALING HOME CARE LLC

Provider Business Mailing Address
First Line	:	4037 E INDEPENDENCE BLVD STE 415
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3260
Country	:	US
Telephone Number	:	919-759-1085
Fax Number	:

Provider Business Practice Location Address
First Line	:	4037 E INDEPENDENCE BLVD STE 415
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3260
Country	:	US
Telephone Number	:	919-759-1085
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TIMEKA LASHAWN HOPE-SMITH
Credential	:
Telephone Number	:	910-759-1085

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/12/2025

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