Organization Active NPI

Eternal Hope Therapeutics LLC

  • Community/Behavioral Health Agency
  • Asheboro, NC
National Provider Identifier
1194590729
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETERNAL HOPE THERAPEUTICS LLC
Practice address
616 Albemarle Rd
Asheboro, NC 27203-6259
Phone
(336) 628-0640
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Mrs. Heather Vuncannon
Title
Executive Director
Phone
(336) 953-7004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

616 Albemarle Rd
Asheboro, NC 27203-6259

Mailing address

1383 Walker Rd
Asheboro, NC 27205-2225
Phone (336) 953-7004

Other practice location 1

234 Cedar Lodge Rd
Thomasville, NC 27360-6143
Phone (336) 474-2211

National Provider Directory

National Provider Directory
Tax ID family
Eternal Hope Therapeutics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

234 Cedar Lodge Rd
Thomasville, NC 27360
Phone (336) 474-2211

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1194590729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 WALKER RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272052225",
            "telephone_number": "336-953-7004",
            "fax_number": "743-224-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 ALBEMARLE RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036259",
            "telephone_number": "336-628-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Cedar Lodge Rd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273606143",
            "country_code": "US",
            "telephone_number": "336-474-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETERNAL HOPE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "VUNCANNON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-953-7004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.