# HOPEWELL NURSE REGISTRY REGION 1, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOPEWELL HOME HEALTH CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720414998
- **Legal business name:** HOPEWELL HOME HEALTH CARE, LLC
- **Authorized official:** MR. BLAKE HAYWARD (OWNER/PRESIDENT)
- **Authorized official phone:** (850) 386-5552

## Contact information

- **Practice address:** 4476 LEGENDARY DR, SUITE 204, DESTIN, FL 32541-5375
- **Practice address phone:** (850) 837-1870
- **Practice address fax:** (850) 837-1868
- **Mailing address:** 2121 KILLARNEY WAY STE H, TALLAHASSEE, FL 32309-3400
- **Mailing address phone:** (850) 386-5552
- **Mailing address fax:** (850) 386-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 30211613 | FL | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/19/2013