Active NPI
Georgia Hope Inc
- Foster Care Agency
- Conyers, GA
National Provider Identifier
1245659804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Legal business name
- GEORGIA HOPE INC
- Practice address
- 4915 Lake Forest Dr SE
Conyers, GA 30094-4427 - Phone
- (770) 344-8704
- Fax
- (678) 609-5407
- NPI assigned
- Apr 10, 2014
- 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
- Janine Porter
- Title
- Executive Director
- Phone
- (770) 344-8704
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Foster Care Agency | 253J00000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
4915 Lake Forest Dr SE
Conyers, GA 30094-4427
Mailing address
PO Box 81574
Conyers, GA 30013-9421
Phone (770) 344-8704
Other names 1
- Georgia Youth Network Inc
National Provider Directory
National Provider Directory- Tax ID family
- Georgia Family Therapy Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Stone Mountain, GA
- NPI 1841486305
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/gahope/r4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1245659804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81574",
"city": "CONYERS",
"state": "GA",
"postal_code": "300139421",
"telephone_number": "770-344-8704",
"fax_number": "678-609-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 LAKE FOREST DR SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300944427",
"telephone_number": "770-344-8704",
"fax_number": "678-609-5407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA HOPE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JANINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "770-344-8704"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgia Youth Network Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.