NPIMap

Organization Active NPI

Hope Village LLC

  • Substance Abuse Rehabilitation Facility
  • Rootstown, OH
National Provider Identifier
1063909612
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOPE VILLAGE LLC
Practice address
3975 Kenneth Dr
Rootstown, OH 44272-9252
Phone
(330) 850-5141
NPI assigned
Apr 19, 2018
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Ms. Regina M Mitchell
Title
Ceo
Phone
(330) 850-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3975 Kenneth Dr
Rootstown, OH 44272-9252

Mailing address

3975 Kenneth Dr
Rootstown, OH 44272-9252
Phone (330) 850-5141

National Provider Directory

National Provider Directory

Locations

3975 Kenneth Dr
Rootstown, OH 44272
Phone (330) 261-5009

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1063909612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729252",
            "telephone_number": "330-850-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729252",
            "telephone_number": "330-850-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-850-5141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.