Organization Active NPI

Hope Gardens 4 Retreat, LLC

  • Foster Care Agency
  • Lithonia, GA
National Provider Identifier
1164956165
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
HOPE GARDENS 4 RETREAT, LLC
Practice address
7027 Swift St
Lithonia, GA 30058-4342
Phone
(678) 615-2158
Fax
(678) 550-9437
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Maxine Young
Title
Manager
Phone
(678) 615-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

7027 Swift St
Lithonia, GA 30058-4342

Mailing address

4000 Panola Rd
Lithonia, GA 30038-3827
Phone (678) 615-2158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1164956165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383827",
            "telephone_number": "678-615-2158",
            "fax_number": "678-550-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 SWIFT ST",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584342",
            "telephone_number": "678-615-2158",
            "fax_number": "678-550-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE GARDENS 4 RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-615-2158"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.