Organization Active NPI

Ejs Hope Center

  • Licensed Practical Nurse
  • Vero Beach, FL
National Provider Identifier
1033682117
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
EJS HOPE CENTER
Practice address
1206 33Rd Ave SW
Vero Beach, FL 32968-5050
Phone
(954) 647-7807
Fax
(772) 205-2326
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beverley West, NURSE
Title
Owner
Phone
(954) 647-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

1206 33Rd Ave SW
Vero Beach, FL 32968-5050

Mailing address

PO Box 650187
Vero Beach, FL 32965-0187
Phone (954) 647-7808

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1033682117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650187",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329650187",
            "telephone_number": "954-647-7808",
            "fax_number": "772-205-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 33RD AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329685050",
            "telephone_number": "954-647-7807",
            "fax_number": "772-205-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJS HOPE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-647-7807",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.