NPIMap

Organization Active NPI

H.O.P.E.

Doing business as H.O.P.E. Program

  • Mental Illness Community Based Residential Treatment Facility
  • Fountain, FL
National Provider Identifier
1235461773
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
H.O.P.E.
Doing business as
H.O.P.E. Program
Practice address
11712 Vandoren LN
Fountain, FL 32438-5262
Phone
(850) 722-6117
Fax
(850) 722-8712
NPI assigned
Feb 9, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mr. Larry Marlin Kirkland, M.S., L.M.H.C.
Title
Clinical Director
Phone
(850) 643-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

11712 Vandoren LN
Fountain, FL 32438-5262

Mailing address

11712 Vandoren LN
Fountain, FL 32438-5262
Phone (850) 722-6117

Other names 1

  • H.O.P.E. Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hope2 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.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1235461773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 VANDOREN LN",
            "city": "FOUNTAIN",
            "state": "FL",
            "postal_code": "324385262",
            "telephone_number": "850-722-6117",
            "fax_number": "850-722-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 VANDOREN LN",
            "city": "FOUNTAIN",
            "state": "FL",
            "postal_code": "324385262",
            "telephone_number": "850-722-6117",
            "fax_number": "850-722-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "850-643-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.O.P.E. Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.