Provider Demographics
NPI:1013780600
Name:HOPE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:HOPE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:INCOOM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-490-2347
Mailing Address - Street 1:9332 OLD SCAGGSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1732
Mailing Address - Country:US
Mailing Address - Phone:301-490-2347
Mailing Address - Fax:
Practice Address - Street 1:9332 OLD SCAGGSVILLE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1732
Practice Address - Country:US
Practice Address - Phone:301-490-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances