Provider Demographics
NPI:1497004584
Name:HOPEFOUNDINC
Entity Type:Organization
Organization Name:HOPEFOUNDINC
Other - Org Name:HOPEFOUNDINC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:AJONG
Authorized Official - Last Name:KHUMBAH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:1443-850-8900
Mailing Address - Street 1:10410 KENSINGTON PARK WAY
Mailing Address - Street 2:307
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895
Mailing Address - Country:US
Mailing Address - Phone:240-558-4541
Mailing Address - Fax:240-558-4540
Practice Address - Street 1:10410 KENSINGTON PARK WAY
Practice Address - Street 2:307
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:240-558-4541
Practice Address - Fax:240-558-4540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care