Hope Shores Linden, LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

HOPE SHORES LINDEN, LLC

Practice address

12237 N Linden Rd
Clio, MI 48420-8205

Phone

(810) 640-8228

NPI assigned

May 29, 2024

Last updated

May 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Wickson

Title

Ceo

Phone

(810) 964-0412

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Antonio Coleman

  • Community Health Worker
  • Burton, MI
  • NPI 1700747706
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1063252963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 LAKE SHORE DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12237 N LINDEN RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208205",
            "telephone_number": "810-640-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SHORES LINDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "WICKSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-964-0412"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Quality Health Care (HQHC Homecare)
• Topaz Jerilyn Holloway, AGPCNP
• Diane Kay Holmes, NP
• Danielle Marie Holt, NP
• Hometown Provider LLC
• Ashley Lynn Hopkins, LPC
• Pamela Hopkins, AGNP
• James Horn
• Jeanene Hritz
• Vanesha Monic' Huddleston

• Assisted Living Facility (Behavioral Disturbances) in Clio, MI
• Providers in Clio, MI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.