Provider Demographics
NPI:1730861071
Name:SPIRIT OF HOPE, LLC
Entity type:Organization
Organization Name:SPIRIT OF HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-3099
Mailing Address - Street 1:3775 VALLEY FORD WAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2801
Mailing Address - Country:US
Mailing Address - Phone:240-423-3099
Mailing Address - Fax:
Practice Address - Street 1:3775 VALLEY FORD WAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2801
Practice Address - Country:US
Practice Address - Phone:240-423-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care