Organization Active NPI

Divine Hope Iop, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1194500124
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE HOPE IOP, LLC
Practice address
1917 W Glendale Ave Ste 8
Phoenix, AZ 85021-7861
Phone
(480) 501-0957
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Yvonne Bahati, CNANPI 1326886482
Title
Ceo
Phone
(480) 501-0957

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1917 W Glendale Ave Ste 8
Phoenix, AZ 85021-7861

Mailing address

1917 W Glendale Ave Ste 8
Phoenix, AZ 85021-7861
Phone (480) 501-0957

National Provider Directory

National Provider Directory

Locations

1917 W Glendale Ave
Ste 8
Phoenix, AZ 85021
Phone (480) 501-0957

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1194500124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W GLENDALE AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217861",
            "telephone_number": "480-501-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 W GLENDALE AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217861",
            "telephone_number": "480-501-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOPE IOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "BAHATI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-501-0957",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.