Provider Demographics
NPI:1720383730
Name:HOPE GROUP HOME INC
Entity Type:Organization
Organization Name:HOPE GROUP HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PRACTICAL NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:ALHAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:SESAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-537-9615
Mailing Address - Street 1:4231 S FOUR MILE RUN DR APT 21
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-3955
Mailing Address - Country:US
Mailing Address - Phone:703-537-9615
Mailing Address - Fax:
Practice Address - Street 1:4231 S FOUR MILE RUN DR APT 21
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3955
Practice Address - Country:US
Practice Address - Phone:703-537-9615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-22
Last Update Date:2011-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities