NPIMap

Organization Active NPI

Hopehealth, Inc

  • Federally Qualified Health Center (FQHC)
  • Timmonsville, SC
National Provider Identifier
1124360136
Registry record updated Sep 21, 2022
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
210 E Market St
Timmonsville, SC 29161-1812
Phone
(843) 346-3730
Fax
(843) 346-7687
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

210 E Market St
Timmonsville, SC 29161-1812

Mailing address

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

Other names 1

  • HopeHealth Timmonsville 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…
O20130507000399 SC Part A Provider - Federally Qualified Health Center (FQHC) 4082510623 Practice locations: Timmonsville, SC

Federally qualified health center certification: CCN 421988

Legal name
HOPEHEALTH, INC.
Doing business as
HOPE FOR THE PEE DEE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 8, 2013
Last certification
May 8, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1994 in SC
Enrollment address
201 E Market St
Timmonsville, SC 29161-1812

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

Locations

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

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 Officer Mar 18, 2013
W-2 Managing EmployeeCeo Mar 18, 2013
Operational/Managerial ControlCeo Mar 18, 2013
Mark Vinson Individual Corporate OfficerCfo Mar 18, 2013
W-2 Managing EmployeeCfo Mar 18, 2013
Operational/Managerial ControlCfo Mar 18, 2013
Angela Hilton Individual Corporate Officer Mar 18, 2013
W-2 Managing EmployeeCoo Mar 18, 2013
Operational/Managerial ControlCoo Mar 18, 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 & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1124360136",
    "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": "210 E MARKET ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611812",
            "telephone_number": "843-346-3730",
            "fax_number": "843-346-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "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 Timmonsville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HopeHealth Timmonsville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Timmonsville, SC

Sources for this page

Verify at the official NPI Registry.