MEDICARE: HOPELINK HEALTHCARE SERVICES

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	R14103	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770071664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPELINK HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	3511 WOODLAKE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4671
Country	:	US
Telephone Number	:	240-505-9041
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511 WOODLAKE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4671
Country	:	US
Telephone Number	:	240-505-9041
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED NURSE
Name	:	BAGUIMA BAYALA
Credential	:	RN
Telephone Number	:	240-481-9368

Provider Enumeration Date	:	04/25/2018
Last Update Date	:	04/25/2018

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Directions to “HOPELINK HEALTHCARE SERVICES ” Practice Location

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