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LIGHT OF HOPE HEALTHCARE
NPI 1619736485
Family Medicine - Adult Medicine in Glen Allen, VA

Active since March 15, 2024CLIA 49D2321379 · Waiver
10620 SPURLOCH CT, GLEN ALLEN, VA 23059(804) 615-0129 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Light Of Hope Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHT OF HOPE HEALTHCARE (NPI 1619736485) is a healthcare organization registered as an adult medicine in Glen Allen, Virginia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Tracey Yeboah, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619736485
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLIGHT OF HOPE HEALTHCARE
Location Address10620 SPURLOCH CTGlen Allen, VA 23059-8003
Mailing Address10620 Spurloch CtGlen Allen, VA 23059-8003 · (804) 615-0129
Phone(804) 615-0129
Organization SubpartNo
Authorized OfficialTracey YeboahFamily Nurse Practitioner · (804) 615-0129
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1619736485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10620 SPURLOCH CT, Glen Allen, VA 23059
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2321379

Light Of Hope Healthcare LLC · Glen Allen, VA
Active · expires Apr 2, 2027
CLIA Number49D2321379
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorTracey A. Yeboah
Laboratory Phone(804) 615-0129
Laboratory LocationLight Of Hope Healthcare LLC11533 Nuckols Rd Suite A, Glen Allen, VA 23059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Light Of Hope Healthcare's NPI number?

The NPI number for Light Of Hope Healthcare is 1619736485. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Light Of Hope Healthcare located?

Light Of Hope Healthcare is located at 10620 Spurloch Ct, Glen Allen, VA 23059. The listed phone number is (804) 615-0129.

What is Light Of Hope Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Light Of Hope Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2321379) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Light Of Hope Healthcare was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.