Provider Demographics
NPI:1992098545
Name:HANDS OF HOPE HEALTH CARE
Entity type:Organization
Organization Name:HANDS OF HOPE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINTON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:251-639-5214
Mailing Address - Street 1:6629 RED MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618-4831
Mailing Address - Country:US
Mailing Address - Phone:251-639-5214
Mailing Address - Fax:251-447-2267
Practice Address - Street 1:6629 RED MAPLE DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618-4831
Practice Address - Country:US
Practice Address - Phone:251-639-5214
Practice Address - Fax:251-447-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
AL1059384251E00000X, 251J00000X, 313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care FacilityGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1059384OtherSTATE ALABAMA LICENSE FOR CEO
AL129666Medicaid
AL102G705730Medicare UPIN