Active NPI
Dawn of Hope, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Johnson City, TN
National Provider Identifier
1053689828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- L000000008390
- Legal business name
- DAWN OF HOPE, INC
- Practice address
- 500 E Oakland Ave
Johnson City, TN 37601-3465 - Phone
- (423) 434-5600
- Fax
- (423) 975-6976
- NPI assigned
- Dec 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Cox
- Title
- Chief Executive Officer
- Phone
- (423) 434-5600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | L000000008390 | TN | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | L000000008390 | TN |
Addresses
Primary practice location
500 E Oakland Ave
Johnson City, TN 37601-3465
Mailing address
P.O. Box 30
Johnson City, TN 37605-0030
Phone (423) 434-5600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L000000022077 | Other | TN | STATE OF TENNESSEE - DIDD |
| 00137 | Medicaid | TN | |
| PSS0000000017 | Other | TN | STATE OF TENNESSEE - DEPARTMENT OF HEALTH |
National Provider Directory
National Provider Directory- Tax ID family
- Dawn of Hope Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Johnson City, TN
- NPI 1649330523
Locations
500 E Oakland Ave
Johnson City, TN 37601
Phone (423) 434-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1053689828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 30",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376050030",
"telephone_number": "423-434-5600",
"fax_number": "423-975-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E OAKLAND AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013465",
"telephone_number": "423-434-5600",
"fax_number": "423-975-6976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN OF HOPE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-08",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "423-434-5600"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TN",
"license": "L000000008390",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": "L000000008390",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE - DIDD",
"identifier": "L000000022077",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00137",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE - DEPARTMENT OF HEALTH",
"identifier": "PSS0000000017",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.