Organization Active NPI

Hope Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1053445171
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOPE HEALTH SYSTEMS, INC
Practice address
6707 Whitestone Rd
Suite 106
Baltimore, MD 21207-4106
Phone
(410) 265-8737
Fax
(410) 265-1258
NPI assigned
Mar 14, 2007
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mr. Olanrele Oladipo Fadiora Jr.
Title
Account Executive
Phone
(443) 865-7549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6707 Whitestone Rd
Suite 106
Baltimore, MD 21207-4106

Mailing address

6707 Whitestone Rd
Suite 106
Baltimore, MD 21207-4140
Phone (410) 265-8737

Other identifiers 2

IdentifierTypeStateIssuer
222000800MedicaidMD
214505700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513000134 MD Part B Supplier - Clinic/Group Practice 3678749959 Receives reassigned benefits from 14 practitioners
Practice locations: Woodlawn, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1053445171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD",
            "address_2": "SUITE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074140",
            "telephone_number": "410-265-8737",
            "fax_number": "410-265-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD",
            "address_2": "SUITE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074106",
            "telephone_number": "410-265-8737",
            "fax_number": "410-265-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "FADIORA",
        "authorized_official_first_name": "OLANRELE",
        "authorized_official_middle_name": "OLADIPO",
        "authorized_official_title_or_position": "ACCOUNT EXECUTIVE",
        "authorized_official_telephone_number": "443-865-7549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222000800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214505700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.