Organization Active NPI

Hope Haven, LTD

  • Assisted Living Facility
  • Hope, AR
National Provider Identifier
1124492459
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
407 Issued in AR
Legal business name
HOPE HAVEN, LTD
Practice address
500 W 23Rd St
Hope, AR 71801-8129
Phone
(870) 777-8655
Fax
(870) 777-5339
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Stephen Anthony Marinick
Title
President of the General Partner
Phone
(501) 545-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 407 AR Primary

Addresses

Primary practice location

500 W 23Rd St
Hope, AR 71801-8129

Mailing address

144 Waterview Dr
Hot Springs, AR 71913-2303
Phone (501) 545-9009

Other identifiers 1

IdentifierTypeStateIssuer
209888794MedicaidAR

Other names 1

  • Hope Haven Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1124492459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WATERVIEW DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132303",
            "telephone_number": "501-545-9009",
            "fax_number": "501-643-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 23RD ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018129",
            "telephone_number": "870-777-8655",
            "fax_number": "870-777-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "MARINICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT OF THE GENERAL PARTNER",
        "authorized_official_telephone_number": "501-545-9009"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209888794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Haven Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.