Organization Active NPI

2 C Hope LLC

  • Clinical Social Worker
  • Harbor Springs, MI
National Provider Identifier
1134800295
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
2 C HOPE LLC
Practice address
1131 W Conway Rd Unit B
Harbor Springs, MI 49740-9642
Phone
(231) 753-8191
NPI assigned
Jul 31, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Kimberly Ann Zimmer, LMSWNPI 1013426535
Title
Owner
Phone
(231) 620-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1131 W Conway Rd Unit B
Harbor Springs, MI 49740-9642

Mailing address

PO Box 2061
Petoskey, MI 49770-2061
Phone (231) 620-1211

Other names 1

  • 2 C Hope LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250524000091 MI Part B Supplier - Clinic/Group Practice 9436678240 Receives reassigned benefits from 1 practitioner
Practice locations: Harbor Springs, MI

National Provider Directory

National Provider Directory

Locations

1131 W Conway Rd
Harbor Springs, MI 49740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1134800295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2061",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702061",
            "telephone_number": "231-620-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W CONWAY RD UNIT B",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409642",
            "telephone_number": "231-753-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2 C HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-620-1211",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2 C Hope LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "2 C Hope LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.