NPIMap

Organization Active NPI

Home of Hope, Inc.

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1215343413
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008201 Issued in CT
Legal business name
HOME OF HOPE, INC.
Practice address
228 Meadow St
Suite 001
Waterbury, CT 06702-1807
Phone
(203) 437-8896
Fax
(203) 437-8456
NPI assigned
Jul 8, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Elijah Caldwell, LCSWNPI 1013167311
Title
Executive Director
Phone
(203) 558-9865

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 WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 008201 CT Primary

Addresses

Primary practice location

228 Meadow St
Suite 001
Waterbury, CT 06702-1807

Mailing address

228 Meadow St
Suite 001
Waterbury, CT 06702-1807
Phone (203) 437-8896

National Provider Directory

National Provider Directory

Locations

228 Meadow St
Ste 1
Waterbury, CT 06702
Phone (203) 437-8896

Practitioners & affiliated clinicians

Practitioners 3

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": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1215343413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MEADOW ST",
            "address_2": "SUITE 001",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021807",
            "telephone_number": "203-437-8896",
            "fax_number": "203-437-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MEADOW ST",
            "address_2": "SUITE 001",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021807",
            "telephone_number": "203-437-8896",
            "fax_number": "203-437-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-558-9865",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.