Provider Demographics
NPI:1629703806
Name:BRINGING HOPE COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:BRINGING HOPE COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENGNI
Authorized Official - Middle Name:
Authorized Official - Last Name:DJIOGO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:443-720-9482
Mailing Address - Street 1:7500 HARFORD RD
Mailing Address - Street 2:FL 1 STE 2
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234
Mailing Address - Country:US
Mailing Address - Phone:410-999-1937
Mailing Address - Fax:410-498-5714
Practice Address - Street 1:7500 HARFORD RD
Practice Address - Street 2:FL 1 STE 2
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234
Practice Address - Country:US
Practice Address - Phone:410-999-1937
Practice Address - Fax:410-498-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care