Provider Demographics
NPI:1740992841
Name:HOPE, CARLOS A JR
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:HOPE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 MARCHAND LN APT 523
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4035
Mailing Address - Country:US
Mailing Address - Phone:704-641-0894
Mailing Address - Fax:
Practice Address - Street 1:6428 DILLARD RIDGE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-8811
Practice Address - Country:US
Practice Address - Phone:704-641-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34283832343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)