Organization Active NPI

Hope Fountains Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Concord, NH
National Provider Identifier
1073206041
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HOPE FOUNTAINS CARE, LLC
Practice address
18 Quincy St
Concord, NH 03301-5341
Phone
(207) 409-2088
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Charles Makoko Rushimisha
Title
Chief Executive Director
Phone
(207) 409-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

18 Quincy St
Concord, NH 03301-5341

Mailing address

PO Box 4073
Concord, NH 03302-4073
Phone (207) 409-2088

Other practice location 1

19.5 Lawrence Street
Concord, NH 03301
Phone (207) 409-2088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1073206041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4073",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033024073",
            "telephone_number": "207-409-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 QUINCY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015341",
            "telephone_number": "207-409-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19.5 Lawrence Street",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "207-409-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE FOUNTAINS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "RUSHIMISHA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MAKOKO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-409-2088"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.