Organization Active NPI

Hope Center Clinic, LLC

  • Peer Specialist
  • Boise, ID
National Provider Identifier
1104644343
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
HOPE CENTER CLINIC, LLC
Practice address
1111 S Orchard St Ste 102
Boise, ID 83705-1961
Phone
(208) 919-4692
Fax
(410) 824-1482
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Marcee Jones, NCMA
Title
Credentialing Director
Phone
(410) 824-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1111 S Orchard St Ste 102
Boise, ID 83705-1961

Mailing address

1111 S Orchard St Ste 102
Boise, ID 83705-1961
Phone (208) 919-4692

Other identifiers 1

IdentifierTypeStateIssuer
1184495954MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Hope Center Clinic LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1104644343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-919-4692",
            "fax_number": "410-824-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-919-4692",
            "fax_number": "410-824-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CENTER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARCEE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "410-824-1480",
        "authorized_official_credential": "NCMA"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184495954",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.