Provider Demographics
NPI:1093165383
Name:NURSE OF HOPE
Entity Type:Organization
Organization Name:NURSE OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-344-0500
Mailing Address - Street 1:1323 GILMER AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-5636
Mailing Address - Country:US
Mailing Address - Phone:540-344-0500
Mailing Address - Fax:540-344-0505
Practice Address - Street 1:1323 GILMER AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-5636
Practice Address - Country:US
Practice Address - Phone:540-344-0500
Practice Address - Fax:540-344-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401117434251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health