Active NPI
Hope Haven, LTD
- Assisted Living Facility
- Hope, AR
National Provider Identifier
1124492459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 407
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209888794 | Medicaid | AR |
Other names 1
- Hope Haven Assisted Living
National Provider Directory
National Provider DirectoryNPI 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.