Hope the Habakkuk Foundation
Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Providence, NC
NPI 1013182104 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1013182104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- Legal business name
- HOPE THE HABAKKUK FOUNDATION
- Practice address
- 382 Gammon Rd
Providence, NC 27315-9631 - Phone
- (336) 988-8484
- NPI assigned
- Apr 29, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- HOPE THE HABAKKUK FOUNDATION
Authorized official
- Name
- Mrs. Monica A Donnell
- Title
- Owner/Administrator
- Phone
- (336) 988-8484
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Yes | ||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
382 Gammon Rd
Providence, NC 27315-9631
Mailing address
382 Gammon Rd
Providence, NC 27315-9631
Phone (336) 988-8484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | NC |
Other names
- HOPE Respite Care
Other providers in Providence, NC
All providers in Providence, NC · Child Intellectual and/or Developmental Disabilities Respite Care in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.