NPIMap

Organization Active NPI

Hope Hospice and Community Services, Inc

Doing business as Hope Comfort Care Program

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1114225745
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9176 Issued in FL
Legal business name
HOPE HOSPICE AND COMMUNITY SERVICES, INC
Doing business as
Hope Comfort Care Program
Practice address
9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone
(239) 433-8073
Fax
(239) 482-7897
NPI assigned
Mar 7, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPE HOSPICE AND COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Samira Beckwith
Title
President/Ceo
Phone
(239) 433-8073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP972142 FL
Family Medicine Physician 207Q00000X OS9176 FL Primary

Addresses

Primary practice location

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Mailing address

9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone (239) 433-8073

Other identifiers 1

IdentifierTypeStateIssuer
000901900MedicaidFL

Other names 1

  • Hope Comfort Care Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000035 FL Part B Supplier - Clinic/Group Practice 0941105308 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
Practice locations: Ft Myers, FL; Fort Myers, FL; Labelle, FL; Lehigh Acres, FL; Bonita Springs, FL; Cape Coral, FL; Clewiston, FL; Estero, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hope Hospice5 organizations share this tax ID, including this one
Part of
Hope Hospice

Other organizations with this tax ID 4

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

Locations

27200 Imperial Pkwy
Bonita Springs, FL 34135
Phone (239) 444-4168

2430 Diplomat Pkwy E
Cape Coral, FL 33909
Phone (239) 652-1205

13821 N Cleveland Ave
Fort Myers, FL 33903

3511 Martin Luther King Blvd
Ste B
Fort Myers, FL 33916
Phone (239) 332-3157

9461 Healthpark Cir
Fort Myers, FL 33908
Phone (239) 219-1600

475 E Cowboy Way
Labelle, FL 33935

25 Homestead Rd N
Ste 35
Lehigh Acres, FL 33936

324 S 6th Ave
Ste D
Wauchula, FL 33873

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1114225745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-433-8073",
            "fax_number": "239-482-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-433-8073",
            "fax_number": "239-482-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOSPICE AND COMMUNITY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE HOSPICE AND COMMUNITY SERVICES",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "239-433-8073"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "NP972142",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000901900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Comfort Care Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.