Visions of Hope Community Support Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

VISIONS OF HOPE COMMUNITY SUPPORT SERVICES

Practice address

2405 Paula St
3
Raleigh, NC 27608-1755

Phone

(919) 802-1577

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Marques Antwain Johnson

Title

Ceo/President

Phone

(919) 802-1577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1053590778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 PAULA ST",
            "address_2": "3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081755",
            "telephone_number": "919-802-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 PAULA ST",
            "address_2": "3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081755",
            "telephone_number": "919-802-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF HOPE COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARQUES",
        "authorized_official_middle_name": "ANTWAIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "919-802-1577"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Visionworks Inc (Visionworks)
• Visiting Angels Homecare LLC
• Vistar Medical Clinic PA

• Mental Illness Community Based Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.