Organization Active NPI

Hope Network

  • Point of Service
  • Grand Rapids, MI
National Provider Identifier
1205229853
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
K162366585192 Issued in MI
Legal business name
HOPE NETWORK
Practice address
755 36TH St. SE
Grand Rapids, MI 49501
Phone
(616) 248-5151
Fax
(616) 243-2302
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mrs. Jamie Marie Kupris, LBSW, QIDP
Title
Supports Coordinator
Phone
(616) 248-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X K162366585192 MI Primary

Addresses

Primary practice location

755 36TH St. SE
Grand Rapids, MI 49501

Mailing address

PO Box 141
Grand Rapids, MI 49501-0141
Phone (616) 248-5151

Other identifiers 1

IdentifierTypeStateIssuer
03131969MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1205229853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495010141",
            "telephone_number": "616-248-5151",
            "fax_number": "616-243-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 36TH ST. SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49501",
            "telephone_number": "616-248-5151",
            "fax_number": "616-243-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "KUPRIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUPPORTS COORDINATOR",
        "authorized_official_telephone_number": "616-248-5151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW, QIDP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "K162366585192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03131969",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.