Provider Demographics
NPI:1710566476
Name:HOPE HOME HEALTH LLC
Entity Type:Organization
Organization Name:HOPE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:757-285-3091
Mailing Address - Street 1:6109A BROOKWOOD DR # A
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2649
Mailing Address - Country:US
Mailing Address - Phone:757-285-3091
Mailing Address - Fax:
Practice Address - Street 1:5000 PORTSMOUTH BLVD STE 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-1955
Practice Address - Country:US
Practice Address - Phone:757-335-7510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care