NPIMap

Organization Active NPI

Hopehealth, Inc

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
National Provider Identifier
1114353786
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOPEHEALTH, INC
Practice address
652 N Matthews Rd
Lake City, SC 29560-7008
Phone
(843) 667-9414
Fax
(843) 374-2713
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mark Vinson
Title
Cfo
Phone
(843) 656-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

652 N Matthews Rd
Lake City, SC 29560-7008

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other names 1

  • HopeHealth School Base Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031212000253 SC Part B Supplier - Clinic/Group Practice 4082510623 Receives reassigned benefits from 144 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orangeburg, SC; Timmonsville, SC; Manning, SC; Lake City, SC; Kingstree, SC; Greeleyville, SC; Hemingway, SC; Darlington, SC…
O20131120000415 SC Part A Provider - Federally Qualified Health Center (FQHC) 4082510623 Practice locations: Lake City, SC

Federally qualified health center certification: CCN 421008

Legal name
HOPEHEALTH, INC.
Doing business as
HOPEHEALTH SCHOOL BASE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 22, 2013
Last certification
Nov 22, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1994 in SC
Enrollment address
652 N Matthews Rd
Lake City, SC 29560-7008

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 22

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

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Hopehealth Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carl M Humphries Individual Corporate OfficerCeo Jul 29, 2013
W-2 Managing EmployeeCeo Jul 29, 2013
Operational/Managerial Control Nov 22, 2013
Mark Vinson Individual Corporate OfficerCfo Jul 29, 2013
W-2 Managing EmployeeCfo Jul 29, 2013
Operational/Managerial Control Nov 22, 2013
Angela Hilton Individual Corporate OfficerCoo Jul 29, 2013
W-2 Managing EmployeeCoo Jul 29, 2013
Operational/Managerial Control Nov 22, 2013

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hopehealth FmuFlorence, SC, CCN 421943 Federally qualified health center Operational/Managerial Control Jun 8, 2011
Hope for the Pee Dee IncLake City, SC, CCN 421984 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth ManningManning, SC, CCN 421000 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hopehealth Manning PediatricsManning, SC, CCN 421001 Federally qualified health center Operational/Managerial Control Mar 18, 2013
Hope for the Pee DeeFlorence, SC, CCN 421028 Federally qualified health center Operational/Managerial Control Feb 1, 2016
Hopehealth, Inc.Greeleyville, SC, CCN 421031 Federally qualified health center Operational/Managerial Control Dec 1, 2015
Hopehealth, Inc.Florence, SC, CCN 421080 Federally qualified health center Operational/Managerial Control Oct 1, 2020
Hopehealth, Inc.Manning, SC, CCN 421081 Federally qualified health center Operational/Managerial Control Sep 25, 2020
Hopehealth, Inc.Hemingway, SC, CCN 871007 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Pine NeedlesFlorence, SC, CCN 871018 Federally qualified health center Operational/Managerial Control Jul 28, 2021
Hopehealth Mills StreetManning, SC, CCN 871034 Federally qualified health center Operational/Managerial Control Jun 4, 2021
Hopehealth Timmonsville School Based Health CenterTimmonsville, SC, CCN 421084 Federally qualified health center Operational/Managerial Control Sep 9, 2022
Hopehealth at the ManorFlorence, SC, CCN 421117 Federally qualified health center Operational/Managerial Control Jan 24, 2025
Hopehealth WilliamsburgKingstree, SC, CCN 421118 Federally qualified health center Operational/Managerial Control Jul 15, 2024
Hopehealth J Paul Truluck School-Based Health CenterLake City, SC, CCN 421125 Federally qualified health center Operational/Managerial Control Apr 2, 2025

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1114353786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607008",
            "telephone_number": "843-667-9414",
            "fax_number": "843-374-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-656-0353"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HopeHealth School Base",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake City, SC

Sources for this page

Verify at the official NPI Registry.