NPIMap

Organization Active NPI

Graceful Hope Community Outreach Services Inc

  • Case Manager/Care Coordinator
  • Philadelphia, PA
National Provider Identifier
1134470784
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
171M00000X Issued in PA
Legal business name
GRACEFUL HOPE COMMUNITY OUTREACH SERVICES INC
Practice address
1101 E Sydney St
B21
Philadelphia, PA 19150-3801
Phone
(187) 757-3883
NPI assigned
Sep 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2012

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

Authorized official

Name
Carolyn Biggs Bullock
Title
Project Manager/Owner
Phone
(877) 573-8839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X 171M00000X PA Primary

Addresses

Primary practice location

1101 E Sydney St
B21
Philadelphia, PA 19150-3801

Mailing address

1101 E Sydney St
B21
Philadelphia, PA 19150-3801
Phone (187) 757-3883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348358400000",
    "number": "1134470784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SYDNEY ST",
            "address_2": "B21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503801",
            "telephone_number": "187-757-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SYDNEY ST",
            "address_2": "B21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503801",
            "telephone_number": "187-757-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOPE COMMUNITY OUTREACH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A",
        "authorized_official_last_name": "BIGGS BULLOCK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROJECT MANAGER/OWNER",
        "authorized_official_telephone_number": "877-573-8839"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.