Provider Demographics
NPI:1568293843
Name:HEART OF HOPE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HEART OF HOPE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-779-3513
Mailing Address - Street 1:10560 MAIN ST STE 316
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7175
Mailing Address - Country:US
Mailing Address - Phone:703-870-0877
Mailing Address - Fax:571-441-6245
Practice Address - Street 1:10560 MAIN ST STE 316
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7175
Practice Address - Country:US
Practice Address - Phone:703-870-0877
Practice Address - Fax:571-441-6245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health