Active NPI
Hopewell Center
- Case Management Agency
- Saint Louis, MO
National Provider Identifier
1063625515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 36874
- Legal business name
- HOPEWELL CENTER
- Practice address
- 4411 N Newstead Ave
Saint Louis, MO 63115-2534 - Phone
- (314) 531-1770
- Fax
- (314) 381-6796
- NPI assigned
- May 8, 2007
- 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
- Mrs. Mary Lee Montgomery, R.N.
- Title
- Case Manager
- Phone
- (314) 531-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 36874 | MO | Primary |
Addresses
Primary practice location
4411 N Newstead Ave
Saint Louis, MO 63115-2534
Mailing address
218 Greenshire LN
O Fallon, MO 63368-8364
Phone (636) 379-7727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36874 | Other | MO | R.N. |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063625515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 GREENSHIRE LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688364",
"telephone_number": "636-379-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N NEWSTEAD AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631152534",
"telephone_number": "314-531-1770",
"fax_number": "314-381-6796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEWELL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "314-531-1770",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MO",
"license": "36874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.N.",
"identifier": "36874",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.