Hope Service of North Carolina LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOPE SERVICE OF NORTH CAROLINA LLC

Practice address

5500 Fortunes Ridge Dr
Apt 74B
Durham, NC 27713-9365

Phone

(336) 615-7448

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Jerry Blackwell Jr.

Title

Manager

Phone

(336) 615-7448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1073809497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FORTUNES RIDGE DR",
            "address_2": "APT 74B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FORTUNES RIDGE DR",
            "address_2": "APT 74B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139365",
            "telephone_number": "336-615-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SERVICE OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-615-7448",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Hooks
• Jared Douglas Hooley, PA-C
• Kassi Anne Hooper, PMHNP-BC
• McKenzie Hoopfer, LCSWA
• Joanna Hooten, M.D.
• Hope Springs Therapy Services PLLC
• Hope Valley Chiropractic, PA
• Hope Wellness Counseling and Consulting, PLLC
• Angela Marie Hopkins, LCMHC-A
• Donyaisja Hopkins

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.