Provider Demographics
NPI:1588126825
Name:HOBBS, ISAIAH (SERVICES FACILITATOR)
Entity type:Individual
Prefix:MR
First Name:ISAIAH
Middle Name:
Last Name:HOBBS
Suffix:
Gender:M
Credentials:SERVICES FACILITATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TECH CENTER PKWY STE 200-245
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3075
Mailing Address - Country:US
Mailing Address - Phone:757-602-0264
Mailing Address - Fax:757-901-4191
Practice Address - Street 1:700 TECH CENTER PKWY STE 200-245
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3075
Practice Address - Country:US
Practice Address - Phone:757-602-0264
Practice Address - Fax:757-901-4191
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health