Organization Active NPI

House of Hope Assisted Living LLC

Doing business as House of Hope LLC

  • Assisted Living Facility (Mental Illness)
  • Charlotte, NC
National Provider Identifier
1043818420
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HOUSE OF HOPE ASSISTED LIVING LLC
Doing business as
House of Hope LLC
Practice address
2129 Summertime Dr Apt 2609
Charlotte, NC 28262-5626
Phone
(704) 615-2653
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Antwon FreemanNPI 1750997300
Title
Owner
Phone
(704) 615-2653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2129 Summertime Dr Apt 2609
Charlotte, NC 28262-5626

Mailing address

2129 Summertime Dr Apt 2609
Charlotte, NC 28262-5626
Phone (704) 615-2653

Other names 1

  • House of Hope LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1043818420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 SUMMERTIME DR APT 2609",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625626",
            "telephone_number": "704-615-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 SUMMERTIME DR APT 2609",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625626",
            "telephone_number": "704-615-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ANTWON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-615-2653"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Hope LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.