MEDICARE: I AM HOPE AGENCY 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1811825300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I AM HOPE AGENCY LLC

Provider Business Mailing Address
First Line	:	2222 SEDWICK RD STE 103
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2655
Country	:	US
Telephone Number	:	919-251-8303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 SEDWICK RD STE 103
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2655
Country	:	US
Telephone Number	:	919-251-8303
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE DIRECTOR
Name	:	CAYLA BROWN
Credential	:
Telephone Number	:	984-383-2216

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “I AM HOPE AGENCY LLC ” Practice Location

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