Destination Hope, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

008-036 Issued in NC

Legal business name

DESTINATION HOPE, INC.

Practice address

322 Cedar Landing Rd
Windsor, NC 27983-9012

Phone

(917) 771-9673

NPI assigned

May 13, 2007

Last updated

Aug 30, 2007By 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

Ms. Cheryl Monique Sablon, BA, MA

Title

Facility Director

Phone

(252) 325-4673

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1114132164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279830231",
            "telephone_number": "917-771-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 CEDAR LANDING RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839012",
            "telephone_number": "917-771-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SABLON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "252-325-4673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "008-036",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.