Hidden Hope Residential

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

360100AP Issued in CA

Legal business name

HIDDEN HOPE RESIDENTIAL

Practice address

12640 14TH St
Yucaipa, CA 92399-1855

Phone

(626) 797-9977

Fax

(626) 844-2977

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Wright

Title

Administrator

Phone

(626) 797-9977

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1093122368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12829 14TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991821",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 14TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991855",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN HOPE RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-797-9977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "360100AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "360100AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie M. Heim, LCSW, ACM
• Rachelle Hilda Maria Henriquez-Gomez, MA, LMFT 129286
• Alyssa M Herbert
• David Miles Herbert, D.C.
• Marisol Hernandez-Sanchez, OD
• Daniel D Hines, RPH
• John R. Hoch, MD
• Marissa Alexandra Hodges
• Elizabeth Hoecker-Martinez
• Donice Holbrook

• Addiction (Substance Use Disorder) Counselor in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.