Provider Demographics
NPI:1952990640
Name:VALLEY OF HOPE HOSPICE, LLC
Entity Type:Organization
Organization Name:VALLEY OF HOPE HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOHEIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-521-3368
Mailing Address - Street 1:5325 FOX RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8755
Mailing Address - Country:US
Mailing Address - Phone:828-423-3695
Mailing Address - Fax:
Practice Address - Street 1:3603 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-682-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-16
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty