Active NPI
Hope Community Support LLC
- Community/Behavioral Health Agency
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOPE COMMUNITY SUPPORT LLC
- Practice address
- 9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563 - Phone
- (704) 493-0466
- NPI assigned
- Jun 2, 2008
- Last updated
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Letishal Juanite Kelly
- Title
- Owner
- Phone
- (704) 493-0466
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563
Mailing address
9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563
Phone (704) 493-0466
National Provider Directory
National Provider Directory- Tax ID family
- Hope Community Support LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Chester, SC
- NPI 1275065302
Locations
1012 Philadelphia Church Rd
Ste D
Dallas, NC 28034
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Chester, SC
- NPI 1194204990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1225297633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD STE 127",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735563",
"telephone_number": "704-493-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD STE 127",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735563",
"telephone_number": "704-493-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE COMMUNITY SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "LETISHAL",
"authorized_official_middle_name": "JUANITE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-493-0466",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.