Provider Demographics
NPI:1942886882
Name:HOPE BAY HOME CARE
Entity Type:Organization
Organization Name:HOPE BAY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KANDE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:NSEYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:170-426-2332
Mailing Address - Street 1:174 CHURCH ST NE STE 202
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4759
Mailing Address - Country:US
Mailing Address - Phone:704-262-3324
Mailing Address - Fax:
Practice Address - Street 1:174 CHURCH ST NE STE 202
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4759
Practice Address - Country:US
Practice Address - Phone:704-262-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health