Hope Light Care Treatment Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOPE LIGHT CARE TREATMENT CENTER LLC

Practice address

4136 N 75TH Ave Ste 211
Phoenix, AZ 85033-3169

Phone

(480) 278-2047

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Ndayiragije

Title

Owner

Phone

(480) 278-2047

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1063126993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9963 W MONTEROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372510",
            "telephone_number": "480-278-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 N 75TH AVE STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333169",
            "telephone_number": "480-278-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIGHT CARE TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "NDAYIRAGIJE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-278-2047"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hope Light Care Homes , LLC
• Hope Light Care Recovery Center LLC
• Hope Light Care, LLC
• Hope Lives - Vive la Esperanza
• Hope Lives - Vive la Esperanza
• Hope Love and Care Group Home LLC
• Hope Medical Transportation

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.