Provider Demographics
NPI:1043961659
Name:FIRST HOPE HOME CARE
Entity Type:Organization
Organization Name:FIRST HOPE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHAD
Authorized Official - Middle Name:W
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:757-706-1208
Mailing Address - Street 1:13885 HEDGEWOOD DR STE 337
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7932
Mailing Address - Country:US
Mailing Address - Phone:703-675-3316
Mailing Address - Fax:
Practice Address - Street 1:13885 HEDGEWOOD DR STE 337
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7932
Practice Address - Country:US
Practice Address - Phone:703-675-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No291U00000XLaboratoriesClinical Medical Laboratory