Provider Demographics
NPI:1972368538
Name:HOPE HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:HOPE HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-964-1940
Mailing Address - Street 1:3022 JAVIER RD STE 104A
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4646
Mailing Address - Country:US
Mailing Address - Phone:703-964-1940
Mailing Address - Fax:703-964-1941
Practice Address - Street 1:3022 JAVIER RD STE 104A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4646
Practice Address - Country:US
Practice Address - Phone:703-964-1940
Practice Address - Fax:703-964-1941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health