Provider Demographics
NPI:1376784975
Name:HOPE AND JOY HEALTH & ALLIED SERVICES, LLC
Entity Type:Organization
Organization Name:HOPE AND JOY HEALTH & ALLIED SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADELEKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTUNUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-617-2750
Mailing Address - Street 1:7313 BRECKENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6935
Mailing Address - Country:US
Mailing Address - Phone:301-617-2750
Mailing Address - Fax:301-617-2751
Practice Address - Street 1:13 C ST
Practice Address - Street 2:SUITE H
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4152
Practice Address - Country:US
Practice Address - Phone:301-617-2750
Practice Address - Fax:301-617-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2442251E00000X
MD0710001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care