Organization Active NPI

Hopewell Center

  • Case Management Agency
  • Saint Louis, MO
National Provider Identifier
1063625515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
36874 Issued in MO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36874OtherMOR.N.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.