Organization Active NPI

Dawn of Hope, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Johnson City, TN
National Provider Identifier
1053689828
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
L000000008390 Issued in TN
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

Updated by the provider on Nov 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
L000000022077OtherTNSTATE OF TENNESSEE - DIDD
00137MedicaidTN
PSS0000000017OtherTNSTATE OF TENNESSEE - DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Dawn of Hope Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.